SAMUEL HAYATT DMD INC.
NPI: 1851665871
· CHULA VISTA, CA 91915
· Dentist
· NPI assigned 03/08/2012
Provider Details
| Authorized Official | HAYATT, SAMUEL (OWNER) |
| NPI Enumeration Date | 03/08/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
715 |
$25K |
| 2019 |
496 |
$21K |
| 2020 |
12 |
$792.00 |
| 2021 |
65 |
$3K |
| 2022 |
45 |
$2K |
| 2024 |
121 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
441 |
440 |
$25K |
| D0210 |
Intraoral - complete series of radiographic images |
389 |
388 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
111 |
110 |
$5K |
| D1206 |
Topical application of fluoride varnish |
296 |
294 |
$3K |
| D1120 |
Prophylaxis - child |
51 |
51 |
$2K |
| D0274 |
Bitewings - four radiographic images |
52 |
52 |
$1K |
| D1320 |
|
45 |
45 |
$730.00 |
| D0350 |
|
57 |
25 |
$652.80 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$480.00 |