MATOS, LUIS
NPI: 1619295771
· JUPITER, FL 33458
· Pediatric Dentist
· NPI assigned 05/12/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,013 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
147 |
144 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
152 |
149 |
$6K |
| D1110 |
Prophylaxis - adult |
17 |
17 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
12 |
$1K |
| D1120 |
Prophylaxis - child |
138 |
135 |
$109.22 |
| D1206 |
Topical application of fluoride varnish |
145 |
142 |
$42.52 |
| D0220 |
Intraoral - periapical first radiographic image |
158 |
155 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$0.00 |
| D1330 |
|
156 |
153 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
72 |
69 |
$0.00 |