GUERRERO, ESTELA
NPI: 1447457288
· PASSAIC, NJ 07055
· General Practice Dentistry
· NPI assigned 06/27/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
425 |
$3K |
| 2019 |
13 |
$52.00 |
| 2021 |
12 |
$72.00 |
| 2022 |
12 |
$72.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
71 |
71 |
$680.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
79 |
79 |
$603.00 |
| D1120 |
Prophylaxis - child |
55 |
55 |
$540.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
92 |
92 |
$390.00 |
| D0220 |
Intraoral - periapical first radiographic image |
112 |
111 |
$256.00 |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$240.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$120.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$60.00 |