NPI: 1982662490 · EL MONTE, CA 91731 · General Practice Dentistry · NPI assigned 05/03/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,198 | $40K |
| 2019 | 1,086 | $44K |
| 2020 | 470 | $11K |
| 2021 | 867 | $30K |
| 2022 | 836 | $30K |
| 2023 | 552 | $15K |
| 2024 | 293 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 476 | 475 | $38K |
| D9110 | 524 | 521 | $33K | |
| D0220 | Intraoral - periapical first radiographic image | 2,280 | 1,719 | $27K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 381 | 205 | $26K |
| D2330 | 239 | 160 | $18K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1,009 | 995 | $14K |
| D0120 | Periodic oral evaluation - established patient | 255 | 255 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 80 | 80 | $5K |
| D2160 | 58 | 40 | $5K |