MARY PHAM IKEDA DDS MS INC
NPI: 1881281913
· LONG BEACH, CA 90807
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 12/22/2020
Provider Details
| Authorized Official | PHAM, MARY (CEO PEDIATRIC DENTISTY) |
| NPI Enumeration Date | 12/22/2020 |
Related Entities
Other providers sharing the same authorized official: PHAM, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
222 |
$6K |
| 2024 |
2,039 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
317 |
317 |
$17K |
| D1310 |
|
177 |
177 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
100 |
100 |
$7K |
| D1206 |
Topical application of fluoride varnish |
145 |
145 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,012 |
199 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
174 |
169 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
31 |
31 |
$1K |
| D1320 |
|
126 |
126 |
$1K |
| D0603 |
|
66 |
66 |
$990.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
46 |
46 |
$644.00 |
| D1354 |
|
30 |
12 |
$360.00 |
| D0350 |
|
37 |
15 |
$345.60 |