FLORES, JORGE
NPI: 1336461789
· PALMDALE, CA 93550
· Dentist
· NPI assigned 02/25/2010
$111K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
816 |
$21K |
| 2019 |
569 |
$15K |
| 2020 |
583 |
$16K |
| 2021 |
607 |
$17K |
| 2022 |
561 |
$16K |
| 2023 |
551 |
$16K |
| 2024 |
351 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
568 |
567 |
$33K |
| D0120 |
Periodic oral evaluation - established patient |
480 |
480 |
$23K |
| D0274 |
Bitewings - four radiographic images |
917 |
916 |
$19K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,558 |
1,524 |
$17K |
| D1110 |
Prophylaxis - adult |
118 |
117 |
$10K |
| D1120 |
Prophylaxis - child |
199 |
199 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
173 |
172 |
$2K |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$276.00 |