SARMIENTO, AUGUSTO
NPI: 1184704702
· TROY, NY 12180
· Dentist
· NPI assigned 10/17/2006
$738.75
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
28 |
$738.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
13 |
13 |
$541.25 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
14 |
$197.50 |