NPI: 1992988315 · TEMECULA, CA 92591 · Dentist · NPI assigned 12/07/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 434 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 160 | 155 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 118 | 115 | $712.00 |
| D1206 | Topical application of fluoride varnish | 26 | 24 | $353.00 |
| D4341 | 104 | 16 | $280.00 | |
| D1120 | Prophylaxis - child | 13 | 12 | $216.00 |
| D0220 | Intraoral - periapical first radiographic image | 13 | 12 | $22.00 |