VEGA, MARIBELL
NPI: 1295017739
· PERTH AMBOY, NJ 08861
· General Practice Dentistry
· NPI assigned 09/11/2011
$604.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$604.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
13 |
12 |
$520.00 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
26 |
$84.00 |