PAEZ DE MENDOZA, CARMEN
NPI: 1578788428
· INDIANAPOLIS, IN 46202
· Prosthodontist
· NPI assigned 04/16/2007
$58.70
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$58.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
16 |
15 |
$58.70 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |