CEJKA, NATHANIEL
NPI: 1215291885
· MONT BELVIEU, TX 77523
· General Practice Dentistry
· NPI assigned 06/28/2012
$181K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
547 |
$43K |
| 2019 |
352 |
$29K |
| 2020 |
468 |
$29K |
| 2021 |
127 |
$17K |
| 2022 |
946 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9410 |
|
1,269 |
827 |
$125K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
421 |
276 |
$16K |
| D0350 |
|
262 |
80 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
98 |
46 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
194 |
93 |
$7K |
| D5211 |
|
13 |
13 |
$7K |
| D7140 |
Extraction, erupted tooth or exposed root |
41 |
12 |
$4K |
| D5410 |
|
38 |
17 |
$2K |
| D0460 |
|
48 |
22 |
$1K |
| D5411 |
|
30 |
14 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
26 |
19 |
$568.88 |