MARTINEZ, LUZ
NPI: 1073832069
· PHARR, TX 78577
· Dentist
· NPI assigned 05/31/2010
$975.65
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
62 |
$975.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$375.05 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$350.70 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
17 |
$249.90 |
| D0603 |
|
17 |
17 |
$0.00 |