JOSE A. ACOSTA-CUEVAS, DDS, INC.
NPI: 1225248560
· ELK GROVE, CA 95758
· Dentist
· NPI assigned 05/23/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
52 |
$2K |
| 2022 |
39 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
25 |
25 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$525.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$399.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
24 |
12 |
$97.20 |