NPI: 1831332121 · ARCADIA, CA 91007 · General Practice Dentistry · NPI assigned 04/16/2009
| Authorized Official | TO, ERIC (CEO) |
| NPI Enumeration Date | 04/16/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 263 | $909.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 52 | 51 | $459.00 |
| D1208 | Topical application of fluoride, excluding varnish | 52 | 50 | $450.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 53 | 51 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 53 | 51 | $0.00 |
| D0274 | Bitewings - four radiographic images | 53 | 51 | $0.00 |