MARTINEZ, MIREILY
NPI: 1669645313
· CAGUAS, PR 00725
· General Practice Dentistry
· NPI assigned 04/02/2008
$115K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,824 |
$24K |
| 2019 |
205 |
$3K |
| 2020 |
115 |
$2K |
| 2021 |
60 |
$802.46 |
| 2022 |
1,706 |
$25K |
| 2023 |
1,799 |
$27K |
| 2024 |
2,133 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,153 |
1,071 |
$32K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,260 |
1,078 |
$30K |
| D0272 |
Bitewings - two radiographic images |
906 |
844 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
910 |
856 |
$12K |
| D1999 |
|
626 |
534 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
1,146 |
1,049 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
376 |
357 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
274 |
266 |
$4K |
| D1120 |
Prophylaxis - child |
191 |
183 |
$3K |