MARILOU P. MEDINA, DMD, INC.
NPI: 1669642963
· FONTANA, CA 92335
· General Practice Dentistry
· NPI assigned 03/03/2008
Provider Details
| Authorized Official | MEDINA, MARILOU (DENTIST) |
| NPI Enumeration Date | 03/03/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
598 |
$8K |
| 2019 |
402 |
$4K |
| 2020 |
330 |
$4K |
| 2021 |
271 |
$2K |
| 2022 |
227 |
$3K |
| 2023 |
56 |
$309.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
113 |
113 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
412 |
411 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
736 |
433 |
$3K |
| D1120 |
Prophylaxis - child |
81 |
81 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
166 |
157 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
41 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$1K |
| D2140 |
|
19 |
12 |
$1K |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$496.80 |
| D0272 |
Bitewings - two radiographic images |
37 |
37 |
$432.00 |
| D1330 |
|
242 |
242 |
$0.00 |