PATRICIA Y. LOPEZ DDS, INC.
NPI: 1497932230
· COVINA, CA 91723
· General Practice Dentistry
· NPI assigned 01/23/2008
$172K
Total Medicaid Paid
Provider Details
| Authorized Official | LOPEZ, PATRICIA (DENTIST) |
| NPI Enumeration Date | 01/23/2008 |
Related Entities
Other providers sharing the same authorized official: LOPEZ, PATRICIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
763 |
$11K |
| 2019 |
464 |
$10K |
| 2020 |
38 |
$364.50 |
| 2021 |
616 |
$12K |
| 2022 |
982 |
$27K |
| 2023 |
1,520 |
$52K |
| 2024 |
1,700 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
674 |
665 |
$44K |
| D1110 |
Prophylaxis - adult |
339 |
338 |
$29K |
| D1120 |
Prophylaxis - child |
609 |
600 |
$24K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
257 |
165 |
$17K |
| D0274 |
Bitewings - four radiographic images |
893 |
883 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
237 |
237 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
887 |
876 |
$12K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,027 |
983 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
104 |
104 |
$5K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
21 |
12 |
$1K |
| D2140 |
|
20 |
12 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
14 |
$180.00 |