NPI: 1902233570 · PALMDALE, CA 93550 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,052 | $43K |
| 2019 | 1,723 | $46K |
| 2020 | 1,163 | $27K |
| 2021 | 2,139 | $58K |
| 2022 | 3,463 | $104K |
| 2023 | 4,193 | $155K |
| 2024 | 3,954 | $192K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2791 | 237 | 154 | $113K | |
| D0150 | 1,557 | 1,552 | $100K | |
| D0120 | 1,552 | 1,544 | $93K | |
| D1120 | 1,499 | 1,488 | $64K | |
| D2392 | 795 | 438 | $52K | |
| D0210 | 1,037 | 1,036 | $48K | |
| D0274 | 1,651 | 1,643 | $33K | |
| D0230 | 6,160 | 2,808 | $26K | |
| D1208 | 1,680 | 1,670 | $25K | |
| D9430 | 582 | 577 | $19K | |
| D4910 | 178 | 178 | $13K | |
| D1310 | 136 | 136 | $6K | |
| D1320 | 478 | 476 | $6K | |
| D0220 | 515 | 514 | $6K | |
| D7140 | 87 | 38 | $5K | |
| D9230 | 88 | 87 | $3K | |
| D9993 | 61 | 61 | $3K | |
| D1351 | 116 | 40 | $3K | |
| D1110 | 27 | 27 | $2K | |
| D4341 | 32 | 13 | $2K | |
| D2391 | 32 | 25 | $2K | |
| D0601 | 72 | 72 | $1K | |
| D0270 | 102 | 102 | $500.00 | |
| D0603 | 13 | 13 | $195.00 |