HINOJOSA, LIZETTE
NPI: 1679831747
· ISLAND PARK, NY 11558
· General Practice Dentistry
· NPI assigned 04/26/2012
$87.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
83 |
$87.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
15 |
15 |
$58.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$29.00 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$0.00 |