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ALFONSO E. MARTINEZ D.D.S. A PROFESSIONAL CORPORATION
ALFONSO E. MARTINEZ D.D.S. A PROFESSIONAL CORPORATION
NPI: 1457572166
· EL MONTE, CA 91732
· General Practice Dentistry
· NPI assigned 05/01/2007
$101K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,405 |
$33K |
| 2019 |
1,427 |
$19K |
| 2020 |
998 |
$11K |
| 2021 |
618 |
$6K |
| 2022 |
561 |
$7K |
| 2023 |
501 |
$9K |
| 2024 |
698 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
657 |
656 |
$29K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,471 |
1,024 |
$18K |
| D1110 |
Prophylaxis - adult |
175 |
175 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
980 |
975 |
$11K |
| D0274 |
Bitewings - four radiographic images |
471 |
470 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
113 |
112 |
$6K |
| D1120 |
Prophylaxis - child |
177 |
176 |
$5K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
71 |
45 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
59 |
58 |
$3K |
| D2140 |
|
34 |
16 |
$2K |