GARDEA, BENJAMIN
NPI: 1417262247
· SAFFORD, AZ 85546
· General Practice Dentistry
· NPI assigned 08/17/2010
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
75 |
$0.00 |
| 2020 |
482 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
16 |
12 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
82 |
40 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
35 |
33 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
166 |
145 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
97 |
87 |
$0.00 |
| D0330 |
Panoramic radiographic image |
37 |
35 |
$0.00 |
| D1999 |
|
77 |
63 |
$0.00 |
| D1110 |
Prophylaxis - adult |
34 |
33 |
$0.00 |