NPI: 1922465053 · MENIFEE, CA 92584 · Pediatric Dentist · NPI assigned 01/20/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 6,671 | $8K |
| 2022 | 14,225 | $19K |
| 2023 | 9,066 | $6K |
| 2024 | 8,415 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,463 | 822 | $5K | |
| D1120 | 4,501 | 4,404 | $5K | |
| D2930 | 850 | 351 | $4K | |
| D2391 | 1,368 | 733 | $4K | |
| D0230 | 6,270 | 4,471 | $3K | |
| D0150 | 2,384 | 2,307 | $3K | |
| D7140 | 716 | 395 | $2K | |
| D1208 | 4,299 | 4,208 | $2K | |
| D0220 | 6,053 | 5,190 | $2K | |
| D1351 | 2,193 | 678 | $2K | |
| D0120 | 2,678 | 2,658 | $2K | |
| D9230 | 1,438 | 1,150 | $984.09 | |
| D1110 | 400 | 393 | $676.12 | |
| D0210 | 268 | 241 | $513.18 | |
| D0140 | 391 | 358 | $468.12 | |
| D1206 | 299 | 291 | $312.06 | |
| D0272 | 432 | 420 | $291.55 | |
| D0274 | 294 | 283 | $285.77 | |
| D0330 | 290 | 280 | $246.93 | |
| D0160 | 296 | 288 | $205.84 | |
| D0145 | 75 | 70 | $164.58 | |
| D0190 | 561 | 493 | $108.65 | |
| D3240 | 45 | 26 | $80.01 | |
| D0270 | 70 | 65 | $18.28 | |
| D0603 | 204 | 176 | $0.00 | |
| D0601 | 290 | 247 | $0.00 | |
| D0602 | 31 | 26 | $0.00 | |
| D0350 | 187 | 64 | $0.00 | |
| D1354 | 31 | 12 | $0.00 |