MENDOZA MARIN, ORBAN
NPI: 1053467654
· CAYEY, PR 00737
· Dentist
· NPI assigned 01/26/2007
$872.36
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
36 |
$0.00 |
| 2022 |
34 |
$872.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
19 |
19 |
$765.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$107.36 |
| D1999 |
|
36 |
26 |
$0.00 |