NPI: 1942432273 · FONTANA, CA 92335 · Pediatric Dentist · NPI assigned 08/20/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,738 | $311.00 |
| 2019 | 4,697 | $0.00 |
| 2020 | 2,209 | $0.00 |
| 2021 | 3,360 | $0.00 |
| 2022 | 3,995 | $0.00 |
| 2023 | 3,030 | $0.00 |
| 2024 | 5,370 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 3,864 | 3,763 | $108.00 | |
| D0120 | 4,181 | 4,080 | $75.00 | |
| D1206 | 2,207 | 2,180 | $34.00 | |
| D0230 | 2,172 | 2,094 | $30.00 | |
| D0220 | 3,093 | 3,002 | $30.00 | |
| D1208 | 2,285 | 2,185 | $17.00 | |
| D0272 | 2,028 | 1,970 | $17.00 | |
| D1351 | 1,085 | 391 | $0.00 | |
| D0603 | 1,205 | 1,155 | $0.00 | |
| D0150 | 360 | 337 | $0.00 | |
| D2392 | 229 | 115 | $0.00 | |
| D0602 | 13 | 12 | $0.00 | |
| D7140 | 27 | 12 | $0.00 | |
| D0330 | 415 | 395 | $0.00 | |
| D1999 | 3,625 | 3,349 | $0.00 | |
| D1110 | 598 | 579 | $0.00 | |
| D0274 | 396 | 389 | $0.00 | |
| D9230 | 187 | 164 | $0.00 | |
| D2391 | 429 | 265 | $0.00 |