ALCIRA URRUTIA DDS PROFESSIONAL CORPORATION
NPI: 1033485685
· SAN FERNANDO, CA 91340
· Dentist
· NPI assigned 03/28/2012
$999.60
Total Medicaid Paid
Provider Details
| Authorized Official | URRUTIA, ALCIRA (DENTIST/OWNER) |
| NPI Enumeration Date | 03/28/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$809.00 |
| 2024 |
13 |
$190.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$809.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$190.60 |