CRUZ, MIREILLE
NPI: 1316113681
· CAMILLUS, NY 13031
· General Practice Dentistry
· NPI assigned 05/06/2008
$358.15
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
30 |
$358.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$358.15 |
| D1999 |
|
17 |
14 |
$0.00 |