CITY OF EL PASO
NPI: 1225104292
· EL PASO, TX 79905
· Public Health Dentist
· NPI assigned 11/28/2006
$138K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CORTINAS, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
91 |
$922.08 |
| 2021 |
2,660 |
$32K |
| 2022 |
2,626 |
$37K |
| 2023 |
2,692 |
$39K |
| 2024 |
2,203 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,298 |
1,295 |
$36K |
| D1120 |
Prophylaxis - child |
460 |
460 |
$16K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,765 |
1,263 |
$16K |
| D0274 |
Bitewings - four radiographic images |
515 |
508 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,042 |
1,040 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,416 |
1,405 |
$15K |
| D1351 |
Sealant - per tooth |
598 |
164 |
$13K |
| D1110 |
Prophylaxis - adult |
136 |
135 |
$7K |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$2K |
| D0240 |
|
128 |
64 |
$1K |
| D2140 |
|
15 |
12 |
$804.63 |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$350.70 |
| D1330 |
|
107 |
107 |
$85.75 |
| D1999 |
|
756 |
716 |
$0.00 |
| D0603 |
|
2,008 |
2,001 |
$0.00 |