VALDERRAMA, EDGAR
NPI: 1487769329
· TUCSON, AZ 85741
· General Practice Dentistry
· NPI assigned 08/20/2006
$161.16
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
165 |
$0.00 |
| 2020 |
15 |
$0.00 |
| 2021 |
173 |
$161.16 |
| 2022 |
286 |
$0.00 |
| 2023 |
73 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
165 |
158 |
$161.16 |
| D1206 |
Topical application of fluoride varnish |
107 |
102 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
117 |
111 |
$0.00 |
| D1330 |
|
39 |
39 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
31 |
30 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
75 |
59 |
$0.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$0.00 |
| D4381 |
|
150 |
13 |
$0.00 |