RALPH SANCHEZ JR., D.D.S., INC.
NPI: 1669067757
· HUNTINGTON PARK, CA 90255
· Dentist
· NPI assigned 03/02/2021
$176K
Total Medicaid Paid
Provider Details
| Authorized Official | SANCHEZ, RALPH (DENTIST) |
| NPI Enumeration Date | 03/02/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
896 |
$39K |
| 2022 |
992 |
$41K |
| 2023 |
1,285 |
$49K |
| 2024 |
1,206 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
674 |
668 |
$60K |
| D0120 |
Periodic oral evaluation - established patient |
474 |
473 |
$38K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
565 |
562 |
$37K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,124 |
1,120 |
$16K |
| D0274 |
Bitewings - four radiographic images |
414 |
414 |
$9K |
| D1120 |
Prophylaxis - child |
154 |
154 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
125 |
125 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
837 |
286 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$144.00 |