ANGELES & MORALES D.D.S.,P.C.
NPI: 1457576795
· SOUTH OZONE PARK, NY 11420
· General Practice Dentistry
· NPI assigned 04/13/2007
$206K
Total Medicaid Paid
Provider Details
| Authorized Official | ANGELES, JOSE (DENTIST) |
| NPI Enumeration Date | 04/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,544 |
$25K |
| 2019 |
1,503 |
$23K |
| 2020 |
1,002 |
$17K |
| 2021 |
1,523 |
$26K |
| 2022 |
1,819 |
$32K |
| 2023 |
2,308 |
$40K |
| 2024 |
2,362 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,068 |
2,066 |
$75K |
| D0120 |
Periodic oral evaluation - established patient |
2,524 |
2,521 |
$50K |
| D0274 |
Bitewings - four radiographic images |
1,687 |
1,687 |
$33K |
| D0220 |
Intraoral - periapical first radiographic image |
3,176 |
3,137 |
$30K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,563 |
2,551 |
$17K |
| D0210 |
Intraoral - complete series of radiographic images |
29 |
28 |
$548.79 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$150.50 |