ERIK .D . CABRERA A PROFESINAL DENTAL CORP.
NPI: 1033358221
· MORENO VALLEY, CA 92555
· Dentist
· NPI assigned 02/11/2009
$215K
Total Medicaid Paid
Provider Details
| Authorized Official | CABRERA, ERIK (OWNER) |
| NPI Enumeration Date | 02/11/2009 |
Related Entities
Other providers sharing the same authorized official: CABRERA, ERIK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,801 |
$35K |
| 2019 |
1,232 |
$20K |
| 2020 |
1,338 |
$25K |
| 2021 |
1,535 |
$31K |
| 2022 |
1,835 |
$48K |
| 2023 |
2,153 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
1,193 |
1,188 |
$63K |
| D1120 |
Prophylaxis - child |
897 |
887 |
$33K |
| D0210 |
Intraoral - complete series of radiographic images |
530 |
530 |
$24K |
| D1110 |
Prophylaxis - adult |
287 |
286 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
378 |
377 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,655 |
1,647 |
$20K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,965 |
1,156 |
$16K |
| D0272 |
Bitewings - two radiographic images |
871 |
864 |
$10K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
20 |
12 |
$1K |
| D2140 |
|
23 |
13 |
$1K |
| D0350 |
|
75 |
44 |
$486.00 |