DAVID SANGHO PARK DDS INC
NPI: 1891143780
· RICHMOND, CA 94805
· Endodontist
· NPI assigned 06/01/2016
Provider Details
| Authorized Official | DE ARMON, BRANDI (REGIONAL MANAGER) |
| NPI Enumeration Date | 06/01/2016 |
Related Entities
Other providers sharing the same authorized official: DE ARMON, BRANDI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31 |
$410.00 |
| 2019 |
78 |
$481.13 |
| 2020 |
515 |
$8K |
| 2021 |
1,099 |
$20K |
| 2022 |
718 |
$19K |
| 2023 |
600 |
$14K |
| 2024 |
34 |
$137.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
308 |
308 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
172 |
167 |
$12K |
| D1110 |
Prophylaxis - adult |
70 |
70 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,488 |
650 |
$6K |
| D1120 |
Prophylaxis - child |
137 |
136 |
$5K |
| D9430 |
|
135 |
134 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
79 |
79 |
$4K |
| D0274 |
Bitewings - four radiographic images |
146 |
146 |
$3K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
22 |
13 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
72 |
72 |
$1K |
| D1206 |
Topical application of fluoride varnish |
62 |
62 |
$664.50 |
| D0270 |
|
39 |
39 |
$195.00 |
| D1330 |
|
265 |
263 |
$0.00 |
| D1999 |
|
80 |
79 |
$0.00 |