COMMUNITY DENTAL OF DR. CHI
NPI: 1922237155
· MORENO VALLEY, CA 92557
· Dentist
· NPI assigned 07/09/2009
Provider Details
| Authorized Official | CHI, CHING-ROO (DENTIST) |
| NPI Enumeration Date | 07/09/2009 |
Related Entities
Other providers sharing the same authorized official: CHI, CHING-ROO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,669 |
$20K |
| 2019 |
1,631 |
$18K |
| 2020 |
732 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
173 |
172 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,807 |
656 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
229 |
222 |
$7K |
| D1120 |
Prophylaxis - child |
194 |
193 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
75 |
35 |
$5K |
| D0272 |
Bitewings - two radiographic images |
478 |
473 |
$4K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
23 |
13 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
39 |
39 |
$338.00 |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
12 |
$0.00 |