FITZPATRICK ,MARY,DDS INC
NPI: 1386813509
· MODESTO, CA 95350
· 122300000X
$588K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,531 |
$79K |
| 2019 |
4,478 |
$102K |
| 2020 |
4,118 |
$85K |
| 2021 |
4,284 |
$83K |
| 2022 |
3,362 |
$90K |
| 2023 |
2,918 |
$77K |
| 2024 |
2,331 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
3,878 |
3,866 |
$205K |
| D1120 |
|
3,377 |
3,366 |
$125K |
| D0274 |
|
2,215 |
2,210 |
$46K |
| D1110 |
|
540 |
537 |
$44K |
| D0230 |
|
8,242 |
4,429 |
$38K |
| D9430 |
|
788 |
768 |
$25K |
| D0220 |
|
1,703 |
1,651 |
$20K |
| D1208 |
|
2,091 |
2,088 |
$18K |
| D1206 |
|
933 |
930 |
$13K |
| D7140 |
|
217 |
114 |
$12K |
| D0272 |
|
1,029 |
968 |
$11K |
| D0210 |
|
218 |
217 |
$10K |
| D0150 |
|
154 |
154 |
$10K |
| D1351 |
|
378 |
67 |
$8K |
| D0350 |
|
227 |
169 |
$2K |
| D2391 |
|
20 |
17 |
$1K |
| D9110 |
|
12 |
12 |
$756.00 |