TOMA, PETROS & EVANS DDS INC.
NPI: 1861983090
· SAN DIEGO, CA 92101
· Public Health Dentist
· NPI assigned 05/23/2018
Provider Details
| Authorized Official | TOMA, OMEED (OWNER/DENTIST) |
| NPI Enumeration Date | 05/23/2018 |
Related Entities
Other providers sharing the same authorized official: TOMA, OMEED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$178.00 |
| 2024 |
101 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$792.00 |
| D1320 |
|
39 |
39 |
$682.50 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$576.00 |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$428.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$178.00 |