DR TOM DENTAL OFFICE
NPI: 1851461354
· ALTA LOMA, CA 91701
· Dentist
· NPI assigned 11/09/2006
Provider Details
| Authorized Official | TOM, ADELINE (OWNER) |
| NPI Enumeration Date | 11/09/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
287 |
$5K |
| 2019 |
416 |
$8K |
| 2020 |
349 |
$7K |
| 2021 |
359 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
293 |
289 |
$12K |
| D1120 |
Prophylaxis - child |
263 |
263 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
398 |
398 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
319 |
319 |
$2K |
| D0274 |
Bitewings - four radiographic images |
113 |
113 |
$2K |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$261.00 |