SOTO-ZAYAS, ZAILEEN
NPI: 1427336049
· LOIZA, PR 00772
· Dentist
· NPI assigned 07/31/2011
$242.90
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$242.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$134.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$108.90 |