MELIDEO, LEON
NPI: 1295937787
· HAUPPAUGE, NY 11788
· General Practice Dentistry
· NPI assigned 06/05/2007
$420K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
982 |
$23K |
| 2019 |
833 |
$20K |
| 2020 |
1,756 |
$52K |
| 2021 |
1,299 |
$32K |
| 2022 |
1,097 |
$37K |
| 2023 |
1,866 |
$131K |
| 2024 |
1,520 |
$126K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9310 |
|
2,130 |
2,129 |
$143K |
| D2750 |
|
152 |
111 |
$74K |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
184 |
169 |
$62K |
| D2954 |
|
443 |
395 |
$54K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,659 |
2,616 |
$42K |
| D0220 |
Intraoral - periapical first radiographic image |
3,393 |
3,281 |
$38K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
153 |
151 |
$4K |
| D9110 |
|
150 |
143 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
60 |
54 |
$581.70 |
| D0210 |
Intraoral - complete series of radiographic images |
29 |
29 |
$376.45 |