ELLEN IM DDS INC
NPI: 1861091720
· POWAY, CA 92064
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/21/2020
Provider Details
| Authorized Official | IM, ELLEN (OWNER/OPERATOR) |
| NPI Enumeration Date | 10/21/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,169 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
186 |
186 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
83 |
83 |
$5K |
| D1310 |
|
150 |
150 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
146 |
146 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
38 |
38 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
294 |
124 |
$1K |
| D0272 |
Bitewings - two radiographic images |
64 |
64 |
$768.00 |
| D0601 |
|
77 |
77 |
$585.00 |
| D9993 |
|
131 |
131 |
$0.00 |