MARIO HERNADEZ, DDS, INC
NPI: 1417098260
· LAKE CLARKE SHORES, FL 33406
· Dental Clinic/Center
· NPI assigned 02/12/2007
$0.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$0.00 |
| 2020 |
68 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$0.00 |
| D1330 |
|
28 |
28 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |