DR. JOSEPH M. MAZUREK, INC
NPI: 1669098208
· LITTLE ROCK, AR 72209
· Pediatric Dentist
· NPI assigned 06/19/2020
$220K
Total Medicaid Paid
Provider Details
| Authorized Official | MAZUREK, TERESA (OFFICE MANAGER) |
| NPI Enumeration Date | 06/19/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
501 |
$12K |
| 2021 |
1,846 |
$45K |
| 2022 |
2,441 |
$63K |
| 2023 |
2,439 |
$62K |
| 2024 |
1,450 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
1,841 |
1,818 |
$46K |
| D1110 |
Prophylaxis - adult |
820 |
813 |
$36K |
| D0272 |
Bitewings - two radiographic images |
1,477 |
1,462 |
$34K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,823 |
1,803 |
$34K |
| D0240 |
|
1,486 |
1,410 |
$34K |
| D1120 |
Prophylaxis - child |
930 |
918 |
$32K |
| D1351 |
Sealant - per tooth |
263 |
74 |
$5K |
| D1354 |
|
37 |
13 |
$365.00 |