NPI: 1902402456 · RIALTO, CA 92376 · Dentist · NPI assigned 12/09/2020
Authorized official REYES, MIGUEL controls 19+ related entities in our dataset. Read more
| Authorized Official | REYES, MIGUEL (Q/A CONTRACT & COMPLIANCE MANAGER) |
| NPI Enumeration Date | 12/09/2020 |
Other providers sharing the same authorized official: REYES, MIGUEL
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 747 | $39K |
| 2022 | 3,159 | $141K |
| 2023 | 6,979 | $208K |
| 2024 | 11,055 | $339K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 2,686 | 2,676 | $176K |
| D0210 | Intraoral - complete series of radiographic images | 2,456 | 2,446 | $117K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,013 | 510 | $68K |
| D2751 | Crown - porcelain fused to predominantly base metal | 119 | 76 | $57K |
| D1110 | Prophylaxis - adult | 568 | 565 | $48K |
| D0350 | 4,825 | 1,397 | $48K | |
| D0120 | Periodic oral evaluation - established patient | 433 | 433 | $30K |
| D1320 | 1,710 | 1,697 | $28K | |
| D9430 | 747 | 735 | $24K | |
| D0230 | Intraoral - periapical each additional radiographic image | 4,489 | 1,244 | $23K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 201 | 93 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 363 | 218 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 1,207 | 1,197 | $17K |
| D1120 | Prophylaxis - child | 319 | 319 | $16K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 29 | 24 | $13K |
| D0274 | Bitewings - four radiographic images | 557 | 554 | $12K |
| D4341 | 102 | 32 | $7K | |
| D0330 | Panoramic radiographic image | 90 | 90 | $450.00 |
| D0270 | 26 | 25 | $130.00 |