JORGE DE LA OSA DDS.,INC
NPI: 1932633864
· POMONA, CA 91768
· Dentist
· NPI assigned 04/18/2017
Provider Details
Related Entities
Other providers sharing the same authorized official: DE LA OSA, JORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
177 |
$4K |
| 2019 |
28 |
$499.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
129 |
123 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
51 |
49 |
$2K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$360.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$110.00 |