RALPH J MAIELLO DDS INC
NPI: 1275729527
· SIMI VALLEY, CA 93065
· Point of Service
· NPI assigned 09/20/2007
$333.00
Total Medicaid Paid
Provider Details
| Authorized Official | MAIELLO, RALPH (OWENER) |
| NPI Enumeration Date | 09/20/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
70 |
$333.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$168.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
57 |
14 |
$165.00 |