NPI: 1972936961 · ARLETA, CA 91331 · General Practice Dentistry · NPI assigned 08/14/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 135 | $0.00 |
| 2019 | 358 | $2K |
| 2020 | 213 | $614.30 |
| 2021 | 514 | $497.30 |
| 2022 | 1,256 | $1K |
| 2023 | 336 | $3K |
| 2024 | 292 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 154 | 154 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 711 | 697 | $1K |
| D0120 | Periodic oral evaluation - established patient | 98 | 98 | $872.00 |
| D1206 | Topical application of fluoride varnish | 39 | 39 | $770.00 |
| D1310 | 93 | 91 | $736.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 67 | 67 | $323.60 |
| D0230 | Intraoral - periapical each additional radiographic image | 691 | 231 | $261.60 |
| D9430 | 100 | 100 | $130.00 | |
| D0602 | 13 | 13 | $75.00 | |
| D0274 | Bitewings - four radiographic images | 65 | 64 | $63.00 |
| D9110 | 12 | 12 | $49.50 | |
| D9995 | 248 | 246 | $0.00 | |
| D1330 | 253 | 250 | $0.00 | |
| D0350 | 220 | 219 | $0.00 | |
| D9993 | 340 | 337 | $0.00 |