HARBOR COMMUNITY CLINIC INC
NPI: 1831739614
· SAN PEDRO, CA 90731
· Pediatrics Physician
· NPI assigned 01/09/2020
Provider Details
| Authorized Official | KING, TAMRA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 01/09/2020 |
Related Entities
Other providers sharing the same authorized official: KING, TAMRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
80 |
$2K |
| 2023 |
100 |
$621.20 |
| 2024 |
89 |
$871.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
79 |
50 |
$1K |
| D1320 |
|
79 |
79 |
$592.50 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$433.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$284.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$187.70 |
| D0230 |
Intraoral - periapical each additional radiographic image |
61 |
12 |
$134.70 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$83.00 |