PEDIATRIC DENTISTRY OF BONITA
NPI: 1194157453
· BONITA SPRINGS, FL 34135
· Pediatric Dentist
· NPI assigned 08/08/2013
$758.00
Total Medicaid Paid
Provider Details
| Authorized Official | ARGUMOSA, MIGUEL (PEDIATRIC DENTIST/MEMBER) |
| NPI Enumeration Date | 08/08/2013 |
Related Entities
Other providers sharing the same authorized official: ARGUMOSA, MIGUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
87 |
$758.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$701.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
18 |
12 |
$41.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$16.00 |
| D1330 |
|
15 |
15 |
$0.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$0.00 |