MG REYES DENTAL CORPORATION
NPI: 1881248417
· BALDWIN PARK, CA 91706
· General Practice Dentistry
· NPI assigned 07/31/2019
Provider Details
| Authorized Official | REYES, MARTIN (OWNER) |
| Parent Organization | SAN GABRIEL DENTAL PRACTICE |
| NPI Enumeration Date | 07/31/2019 |
Related Entities
Other providers sharing the same authorized official: REYES, MARTIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
665 |
$25K |
| 2021 |
129 |
$575.10 |
| 2022 |
446 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
254 |
93 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
121 |
121 |
$8K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
58 |
33 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
623 |
140 |
$3K |
| D0350 |
|
100 |
46 |
$976.80 |
| D1120 |
Prophylaxis - child |
31 |
30 |
$847.50 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$518.40 |
| D0272 |
Bitewings - two radiographic images |
17 |
17 |
$201.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$96.00 |