MICHELLE S. MENDOZA, DDS, PA
NPI: 1528299211
· FRISCO, TX 75034
· General Practice Dentistry
· NPI assigned 07/29/2009
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
544 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
128 |
124 |
$3K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
52 |
27 |
$3K |
| D1120 |
Prophylaxis - child |
57 |
55 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
130 |
125 |
$2K |
| D0272 |
Bitewings - two radiographic images |
39 |
38 |
$865.06 |
| D1110 |
Prophylaxis - adult |
16 |
15 |
$588.32 |
| D0602 |
|
122 |
117 |
$0.00 |