GARCIA, PEDRO
NPI: 1316012842
· WEST HAVEN, CT 06516
· General Practice Dentistry
· NPI assigned 11/21/2006
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
270 |
$0.00 |
| 2023 |
114 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
46 |
40 |
$0.00 |
| D1120 |
Prophylaxis - child |
123 |
120 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
99 |
96 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
90 |
88 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$0.00 |