ASSISTANCE LEAGUE OF NEWPORT-MESA CALIFORNIA
NPI: 1942608435
· COSTA MESA, CA 92627
· Endodontist
· NPI assigned 12/15/2014
$114K
Total Medicaid Paid
Provider Details
| Authorized Official | HAMADA, DAVID (DENTAL ADVISOR) |
| NPI Enumeration Date | 12/15/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
248 |
$7K |
| 2019 |
347 |
$12K |
| 2020 |
347 |
$12K |
| 2021 |
370 |
$13K |
| 2022 |
832 |
$43K |
| 2023 |
485 |
$20K |
| 2024 |
286 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,037 |
1,030 |
$58K |
| D1120 |
Prophylaxis - child |
1,264 |
1,263 |
$48K |
| D0274 |
Bitewings - four radiographic images |
207 |
207 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
298 |
124 |
$1K |
| D1206 |
Topical application of fluoride varnish |
56 |
56 |
$817.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$792.00 |
| D0272 |
Bitewings - two radiographic images |
41 |
41 |
$492.00 |