MELENDEZ-BORIA, RAFAEL
NPI: 1396836821
· CAMDEN, NJ 08103
· Dentist
· NPI assigned 09/28/2006
$263.25
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$173.25 |
| 2021 |
12 |
$45.00 |
| 2023 |
12 |
$45.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
50 |
50 |
$146.25 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$117.00 |