RA NEIRA GARAGATTI DENTAL DDS PLLC
NPI: 1245620970
· PALMVIEW, TX 78572
· Dentist
· NPI assigned 02/03/2015
$147K
Total Medicaid Paid
Provider Details
| Authorized Official | NEIRA, RICARDO (DENTIST/OWNER) |
| NPI Enumeration Date | 02/03/2015 |
Related Entities
Other providers sharing the same authorized official: NEIRA, RICARDO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
60 |
$873.06 |
| 2021 |
2,344 |
$39K |
| 2022 |
2,552 |
$40K |
| 2023 |
2,434 |
$37K |
| 2024 |
2,139 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
3,419 |
1,232 |
$33K |
| D0120 |
Periodic oral evaluation - established patient |
1,064 |
1,056 |
$29K |
| D1110 |
Prophylaxis - adult |
529 |
524 |
$27K |
| D0220 |
Intraoral - periapical first radiographic image |
1,359 |
1,322 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
995 |
990 |
$14K |
| D1120 |
Prophylaxis - child |
388 |
387 |
$14K |
| D0274 |
Bitewings - four radiographic images |
425 |
422 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$1K |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$542.56 |
| D1330 |
|
345 |
345 |
$247.62 |
| D0601 |
|
44 |
43 |
$0.00 |
| D0603 |
|
854 |
848 |
$0.00 |
| D0602 |
|
53 |
52 |
$0.00 |