DEL MAR PEDIATRIC & ADOLESCENTS DENTAL GROUP
NPI: 1972830180
· SAN DIEGO, CA 92130
· Dental Clinic/Center
· NPI assigned 11/09/2009
Provider Details
Related Entities
Other providers sharing the same authorized official: SHARAFI, SOUDABEH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$596.00 |
| 2019 |
1,279 |
$21K |
| 2020 |
864 |
$13K |
| 2021 |
402 |
$4K |
| 2022 |
336 |
$4K |
| 2023 |
42 |
$170.10 |
| 2024 |
31 |
$819.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
293 |
287 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
143 |
143 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,333 |
368 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
402 |
347 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
389 |
381 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
105 |
96 |
$4K |
| D9430 |
|
72 |
52 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
47 |
47 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$2K |
| D0330 |
Panoramic radiographic image |
58 |
58 |
$2K |
| D1351 |
Sealant - per tooth |
49 |
13 |
$1K |
| D0350 |
|
72 |
44 |
$873.60 |