VICTORIA Q. CISNEROS DENTISTRY PLLC
NPI: 1023241288
· HOUSTON, TX 77031
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/03/2009
$155K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CISNEROS, VICTORIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
284 |
$5K |
| 2021 |
2,585 |
$55K |
| 2022 |
3,133 |
$67K |
| 2023 |
1,008 |
$20K |
| 2024 |
575 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
1,490 |
260 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
875 |
867 |
$24K |
| D1120 |
Prophylaxis - child |
643 |
636 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,035 |
1,020 |
$15K |
| D0145 |
Oral evaluation for a patient under three years of age |
102 |
101 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
897 |
880 |
$11K |
| D0272 |
Bitewings - two radiographic images |
474 |
468 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
845 |
830 |
$9K |
| D1110 |
Prophylaxis - adult |
102 |
102 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
42 |
40 |
$2K |
| D0274 |
Bitewings - four radiographic images |
61 |
60 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
12 |
$931.12 |
| D1330 |
|
20 |
20 |
$134.75 |
| D0602 |
|
352 |
348 |
$0.00 |
| D0601 |
|
618 |
606 |
$0.00 |
| D0603 |
|
12 |
12 |
$0.00 |