JOSE MANUEL TERRAZA DDS INC
NPI: 1518380294
· OXNARD, CA 93033
· General Practice Dentistry
· NPI assigned 01/30/2014
$152K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,599 |
$15K |
| 2019 |
1,652 |
$18K |
| 2020 |
1,291 |
$15K |
| 2021 |
1,660 |
$18K |
| 2022 |
2,349 |
$35K |
| 2023 |
1,794 |
$27K |
| 2024 |
1,699 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
766 |
763 |
$45K |
| D1120 |
Prophylaxis - child |
938 |
934 |
$36K |
| D0230 |
Intraoral - periapical each additional radiographic image |
7,968 |
1,428 |
$33K |
| D0274 |
Bitewings - four radiographic images |
1,341 |
1,334 |
$24K |
| D1208 |
Topical application of fluoride, excluding varnish |
919 |
916 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
73 |
73 |
$4K |
| D0350 |
|
39 |
12 |
$355.20 |