FAVELA DENTAL CORP.
NPI: 1992028708
· ALISO VIEJO, CA 92656
· General Practice Dentistry
· NPI assigned 03/08/2010
Provider Details
| Authorized Official | VO, LISA (OFFICE MANAGER) |
| NPI Enumeration Date | 03/08/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$792.00 |
| 2024 |
88 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
42 |
42 |
$3K |
| D1110 |
Prophylaxis - adult |
29 |
29 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
29 |
29 |
$1K |