PEDRO S. GARCIA DDS., PC
NPI: 1073862520
· WEST HAVEN, CT 06516
· General Practice Dentistry
· NPI assigned 08/30/2012
$229K
Total Medicaid Paid
Provider Details
| Authorized Official | GARCIA, PEDRO (GENERAL) |
| NPI Enumeration Date | 08/30/2012 |
Related Entities
Other providers sharing the same authorized official: GARCIA, PEDRO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
941 |
$30K |
| 2019 |
944 |
$30K |
| 2020 |
913 |
$27K |
| 2021 |
1,275 |
$40K |
| 2022 |
1,004 |
$33K |
| 2023 |
1,326 |
$42K |
| 2024 |
837 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,215 |
2,164 |
$95K |
| D0120 |
Periodic oral evaluation - established patient |
1,817 |
1,783 |
$59K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,293 |
1,261 |
$35K |
| D0230 |
Intraoral - periapical each additional radiographic image |
985 |
567 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
685 |
661 |
$12K |
| D0274 |
Bitewings - four radiographic images |
187 |
182 |
$8K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
18 |
13 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$2K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$407.68 |