JAVIER O. DE LA GARZA, DDS, PA
NPI: 1275728909
· WESLACO, TX 78596
· General Practice Dentistry
· NPI assigned 09/06/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
102 |
$2K |
| 2021 |
1,066 |
$21K |
| 2022 |
1,301 |
$29K |
| 2023 |
883 |
$20K |
| 2024 |
983 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,025 |
847 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
1,460 |
1,218 |
$32K |
| D1208 |
Topical application of fluoride, excluding varnish |
736 |
632 |
$9K |
| D0274 |
Bitewings - four radiographic images |
243 |
208 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
87 |
68 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
12 |
$853.76 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$257.18 |
| D0603 |
|
699 |
607 |
$0.01 |
| D0601 |
|
31 |
30 |
$0.00 |
| D0602 |
|
27 |
26 |
$0.00 |