RESTREPO, MONICA
NPI: 1396126827
· LEESBURG, VA 20176
· General Practice Dentistry
· NPI assigned 06/10/2015
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
196 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
19 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
32 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
39 |
39 |
$0.00 |
| D0240 |
|
33 |
17 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$0.00 |
| D1120 |
Prophylaxis - child |
28 |
28 |
$0.00 |