SAN LUIS, EGDON
NPI: 1396897278
· HAYWARD, CA 94541
· Dentist
· NPI assigned 01/18/2007
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$0.00 |
| D9430 |
|
14 |
14 |
$0.00 |