SOMBRIO, PATRICIA
NPI: 1093233629
· WAUKESHA, WI 53188
· Dental Hygienist
· NPI assigned 09/04/2017
$159K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,780 |
$41K |
| 2019 |
3,699 |
$57K |
| 2020 |
1,779 |
$27K |
| 2021 |
1,948 |
$27K |
| 2022 |
287 |
$6K |
| 2023 |
129 |
$828.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
3,629 |
3,587 |
$46K |
| D1120 |
Prophylaxis - child |
1,906 |
1,868 |
$41K |
| D1351 |
Sealant - per tooth |
1,738 |
633 |
$29K |
| D0191 |
|
2,455 |
2,415 |
$26K |
| D1110 |
Prophylaxis - adult |
490 |
488 |
$14K |
| D1354 |
|
404 |
194 |
$3K |