GRIGORY ROZENVICH D.D.S., INC.
NPI: 1912196171
· SANTA ANA, CA 92704
· Exclusive Provider Organization
· NPI assigned 10/23/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
461 |
$11K |
| 2019 |
575 |
$17K |
| 2020 |
254 |
$6K |
| 2021 |
101 |
$3K |
| 2022 |
88 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
499 |
499 |
$20K |
| D1120 |
Prophylaxis - child |
171 |
170 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
422 |
420 |
$5K |
| D0274 |
Bitewings - four radiographic images |
210 |
210 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
18 |
$1K |
| D4910 |
|
13 |
13 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$576.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
116 |
40 |
$486.00 |
| D0350 |
|
18 |
13 |
$182.40 |