NPI: 1932312139 · COLTON, CA 92324 · General Practice Dentistry · NPI assigned 05/07/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,095 | $35K |
| 2019 | 1,135 | $16K |
| 2020 | 469 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 221 | 221 | $15K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 182 | 81 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,514 | 520 | $10K |
| D0274 | Bitewings - four radiographic images | 397 | 395 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 151 | 150 | $7K |
| D9430 | 76 | 76 | $2K | |
| D2140 | 27 | 12 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | 119 | 107 | $1K |
| D1120 | Prophylaxis - child | 12 | 12 | $330.00 |