JORGE L. GERONIMO, DDS PROF. DENTAL CORP.
NPI: 1265809065
· RIVERSIDE, CA 92503
· Preferred Provider Organization
· NPI assigned 08/27/2015
$137K
Total Medicaid Paid
Provider Details
| Authorized Official | GERONIMO, JORGE (DENTIST) |
| Parent Organization | PACIFIC DENTAL CLINIC |
| NPI Enumeration Date | 08/27/2015 |
Related Entities
Other providers sharing the same authorized official: GERONIMO, JORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
161 |
$2K |
| 2019 |
442 |
$9K |
| 2020 |
433 |
$9K |
| 2021 |
2,060 |
$23K |
| 2022 |
2,327 |
$36K |
| 2023 |
2,251 |
$39K |
| 2024 |
1,223 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
582 |
577 |
$41K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,310 |
1,067 |
$24K |
| D1120 |
Prophylaxis - child |
527 |
520 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
970 |
962 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
187 |
186 |
$12K |
| D0272 |
Bitewings - two radiographic images |
805 |
799 |
$10K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
112 |
41 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
46 |
24 |
$3K |
| D0350 |
|
313 |
123 |
$3K |
| D1110 |
Prophylaxis - adult |
31 |
31 |
$3K |
| D1310 |
|
14 |
14 |
$92.00 |