LEO JIREH C ABELITA DMD INC
NPI: 1215101324
· LOMITA, CA 90717
· Dentist
· NPI assigned 04/18/2008
$180K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,249 |
$22K |
| 2019 |
1,347 |
$30K |
| 2020 |
796 |
$14K |
| 2021 |
968 |
$18K |
| 2022 |
1,174 |
$36K |
| 2023 |
1,509 |
$42K |
| 2024 |
773 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,049 |
1,029 |
$62K |
| D1110 |
Prophylaxis - adult |
327 |
318 |
$28K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,306 |
1,792 |
$27K |
| D0274 |
Bitewings - four radiographic images |
1,164 |
1,144 |
$24K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,367 |
1,343 |
$17K |
| D1120 |
Prophylaxis - child |
443 |
434 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
85 |
85 |
$4K |
| D9430 |
|
63 |
63 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$144.00 |