MYRNA GRACE S.HILO, DMD, INC
NPI: 1972988848
· SANTA CLARA, CA 95054
· Dental Clinic/Center
· NPI assigned 07/21/2015
Provider Details
| Authorized Official | HILO, MYRNA GRACE (GENERAL DENTIST) |
| NPI Enumeration Date | 07/21/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
270 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
43 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
159 |
45 |
$528.00 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
39 |
$390.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
29 |
29 |
$210.00 |