REYES, SOL
NPI: 1386664431
· SANTA MARIA, CA 93454
· General Practice Dentistry
· NPI assigned 07/20/2006
$168K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,903 |
$50K |
| 2019 |
1,564 |
$47K |
| 2020 |
1,382 |
$35K |
| 2021 |
1,363 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
1,797 |
1,790 |
$71K |
| D1120 |
Prophylaxis - child |
1,891 |
1,886 |
$54K |
| D1351 |
Sealant - per tooth |
1,272 |
286 |
$26K |
| D1206 |
Topical application of fluoride varnish |
951 |
951 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
136 |
136 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
136 |
136 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
29 |
29 |
$920.00 |