NPI: 1902067499 · INGLEWOOD, CA 90301 · Dentist · NPI assigned 06/18/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 129 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 38 | 13 | $2K |
| D0140 | Limited oral evaluation - problem focused | 43 | 38 | $1K |
| D0274 | Bitewings - four radiographic images | 35 | 35 | $801.38 |
| D1206 | Topical application of fluoride varnish | 13 | 12 | $575.64 |