ANTOLINEZ KAI, VANESSA
NPI: 1386198166
· UNION CITY, CA 94587
· Pediatric Dentist
· NPI assigned 08/09/2016
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
283 |
$0.00 |
| 2022 |
400 |
$0.00 |
| 2023 |
136 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
97 |
80 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
192 |
171 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
29 |
29 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
66 |
56 |
$0.00 |
| D1330 |
|
72 |
61 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$0.00 |
| D1120 |
Prophylaxis - child |
159 |
144 |
$0.00 |
| D1999 |
|
82 |
67 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
110 |
98 |
$0.00 |