GROVE MARKETPLACE DENTAL
NPI: 1932379948
· ONTARIO, CA 91761
· General Practice Dentistry
· NPI assigned 03/05/2008
Provider Details
| Authorized Official | TON, DANIEL (OWNER) |
| NPI Enumeration Date | 03/05/2008 |
Related Entities
Other providers sharing the same authorized official: TON, DANIEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
651 |
$13K |
| 2019 |
183 |
$7K |
| 2020 |
74 |
$3K |
| 2021 |
261 |
$13K |
| 2022 |
61 |
$1K |
| 2023 |
185 |
$5K |
| 2024 |
79 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
229 |
229 |
$14K |
| D1110 |
Prophylaxis - adult |
135 |
135 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
223 |
222 |
$9K |
| D1120 |
Prophylaxis - child |
86 |
86 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
632 |
326 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
44 |
44 |
$2K |
| D0274 |
Bitewings - four radiographic images |
102 |
102 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
18 |
18 |
$164.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$130.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$120.00 |