NPI: 1982831673 · REDONDO BEACH, CA 90277 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/19/2009
| Authorized Official | ARCE, JORGE (DENTIST/OWNER) |
| NPI Enumeration Date | 06/19/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 175 | $7K |
| 2020 | 420 | $15K |
| 2021 | 502 | $8K |
| 2022 | 1,645 | $72K |
| 2023 | 1,805 | $100K |
| 2024 | 237 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 713 | 387 | $83K |
| D9430 | 1,806 | 1,713 | $58K | |
| D0330 | Panoramic radiographic image | 1,250 | 1,226 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 324 | 324 | $20K |
| D7230 | 40 | 26 | $8K | |
| D7240 | Removal of impacted tooth - completely bony | 30 | 12 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 89 | 88 | $1K |
| D1999 | 463 | 435 | $494.50 | |
| D0230 | Intraoral - periapical each additional radiographic image | 69 | 37 | $299.70 |