PEREIRA, SERGIO
NPI: 1679650360
· ELK GROVE, CA 95757
· General Practice Dentistry
· NPI assigned 11/01/2006
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
290 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
20 |
19 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
34 |
31 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
49 |
49 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
91 |
53 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
20 |
18 |
$0.00 |
| D1330 |
|
64 |
60 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$0.00 |