DIAZ RODRIGUEZ, RAFAEL
NPI: 1396952495
· SPRING, TX 77386
· General Practice Dentistry
· NPI assigned 05/17/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
84 |
$895.02 |
| 2023 |
137 |
$2K |
| 2024 |
137 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
120 |
58 |
$1K |
| D1206 |
Topical application of fluoride varnish |
87 |
87 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
34 |
34 |
$952.05 |
| D0220 |
Intraoral - periapical first radiographic image |
62 |
61 |
$741.04 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$477.75 |
| D0603 |
|
14 |
14 |
$0.00 |
| D0602 |
|
26 |
26 |
$0.00 |