CALDERON, LUIS
NPI: 1316016462
· THE WOODLANDS, TX 77381
· General Practice Dentistry
· NPI assigned 11/06/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$491.17 |
| 2021 |
779 |
$19K |
| 2022 |
358 |
$10K |
| 2023 |
255 |
$7K |
| 2024 |
82 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
213 |
208 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
340 |
327 |
$9K |
| D0274 |
Bitewings - four radiographic images |
262 |
252 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
437 |
425 |
$6K |
| D1120 |
Prophylaxis - child |
26 |
25 |
$882.00 |
| D0220 |
Intraoral - periapical first radiographic image |
52 |
50 |
$577.76 |
| D0230 |
Intraoral - periapical each additional radiographic image |
51 |
49 |
$552.48 |
| D0602 |
|
120 |
114 |
$0.00 |