CAMPODONICO, CARLOS
NPI: 1154546877
· BLAINE, MN 55449
· General Practice Dentistry
· NPI assigned 04/16/2007
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
279 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
76 |
76 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
38 |
38 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
48 |
48 |
$0.00 |
| D0330 |
Panoramic radiographic image |
73 |
73 |
$0.00 |
| D1110 |
Prophylaxis - adult |
44 |
44 |
$0.00 |