HOUSE, LUZ
NPI: 1104226638
· HEMPSTEAD, NY 11550
· Dentist
· NPI assigned 09/03/2014
$279.21
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$0.00 |
| 2020 |
26 |
$164.22 |
| 2021 |
13 |
$114.99 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
43 |
43 |
$170.82 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$108.39 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |