STATE COLLEGE DENTAL GROUP
NPI: 1871628065
· ANAHEIM, CA 92806
· General Practice Dentistry
· NPI assigned 02/21/2007
Provider Details
| Authorized Official | BADEA, MARIUS (DENTIST , OFFICER) |
| NPI Enumeration Date | 02/21/2007 |
Related Entities
Other providers sharing the same authorized official: BADEA, MARIUS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,905 |
$23K |
| 2019 |
2,667 |
$29K |
| 2020 |
113 |
$753.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
3,426 |
850 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
1,040 |
917 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
242 |
239 |
$9K |
| D1120 |
Prophylaxis - child |
279 |
277 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
417 |
411 |
$4K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
45 |
25 |
$2K |
| D0350 |
|
187 |
98 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
23 |
14 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
24 |
$840.00 |