ERIC TO, DDS, INC
NPI: 1831332121
· ARCADIA, CA 91007
· General Practice Dentistry
· NPI assigned 04/16/2009
$909.00
Total Medicaid Paid
Provider Details
| Authorized Official | TO, ERIC (CEO) |
| NPI Enumeration Date | 04/16/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
263 |
$909.00 |
Billing Codes
| 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 |