EDSON MARTINEZ-RUIZ, DDS, PA
NPI: 1164803417
· DEL RIO, TX 78840
· General Practice Dentistry
· NPI assigned 06/12/2015
Provider Details
| Authorized Official | MARTINEZ, VANIA (BUSINESS ADMINISTRATOR) |
| NPI Enumeration Date | 06/12/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
36 |
$373.80 |
| 2021 |
395 |
$3K |
| 2022 |
713 |
$13K |
| 2023 |
837 |
$14K |
| 2024 |
506 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
161 |
78 |
$12K |
| D0350 |
|
478 |
444 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
416 |
384 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
176 |
161 |
$4K |
| D0274 |
Bitewings - four radiographic images |
175 |
152 |
$4K |
| D1120 |
Prophylaxis - child |
105 |
93 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
53 |
26 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
39 |
$1K |
| D0603 |
|
882 |
726 |
$0.00 |