KATYA ARCHAMBAULT, DMD
Oral and Maxillofacial Radiology Dentistry · LA JOLLA, CA
Individual Active NPI 1700350485
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 77 | 262 | $51,485 | $36,048 | $28,234 |
| 2023 | 98 | 349 | $82,455 | $62,445 | $49,189 |
| 2022 | 88 | 378 | $170,850 | $126,550 | $100,206 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 96 | $97 | $76 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 61 | $137 | $105 |
| 70486 | Ct scan of face without contrast | 26 | $41 | $33 |
| 76376 | 3d radiographic procedure | 22 | $28 | $22 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 20 | $177 | $141 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | ✓ | DDS65278 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
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See all Oral and Maxillofacial Radiology Dentistry providers in California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.