GARCIA, STEVE
NPI: 1457873341
· PORT LAVACA, TX 77979
· Dentist
· NPI assigned 07/12/2017
$980.96
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
94 |
$980.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$352.80 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$317.35 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$172.65 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$138.16 |
| D0603 |
|
30 |
30 |
$0.00 |