GILBERTO LOZANO, DDS, INC
NPI: 1881437135
· EL MONTE, CA 91732
· Dental Clinic/Center
· NPI assigned 06/14/2024
Provider Details
| Authorized Official | LOZANO, JUAN (OWNER) |
| NPI Enumeration Date | 06/14/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
414 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
41 |
$3K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
239 |
41 |
$959.85 |
| D0274 |
Bitewings - four radiographic images |
41 |
41 |
$864.00 |
| D0350 |
|
52 |
12 |
$499.20 |
| D1206 |
Topical application of fluoride varnish |
28 |
28 |
$476.00 |