LEPE DENTAL CORPORATION
NPI: 1154357606
· SAN FERNANDO, CA 91340
· General Practice Dentistry
· NPI assigned 06/25/2006
$121K
Total Medicaid Paid
Provider Details
| Authorized Official | LEPE, CARLOS (PRESIDENT) |
| NPI Enumeration Date | 06/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,644 |
$19K |
| 2019 |
1,215 |
$21K |
| 2020 |
751 |
$9K |
| 2021 |
1,164 |
$13K |
| 2022 |
1,074 |
$23K |
| 2023 |
853 |
$19K |
| 2024 |
690 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
845 |
843 |
$46K |
| D1120 |
Prophylaxis - child |
785 |
783 |
$27K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,505 |
1,500 |
$18K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,559 |
1,153 |
$10K |
| D0274 |
Bitewings - four radiographic images |
466 |
465 |
$10K |
| D1110 |
Prophylaxis - adult |
93 |
93 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$1K |
| D0272 |
Bitewings - two radiographic images |
46 |
46 |
$514.00 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
25 |
$309.00 |
| D1999 |
|
736 |
674 |
$259.50 |
| D1330 |
|
305 |
305 |
$0.00 |