LETELIER, CARLOS
NPI: 1689614893
· LAS VEGAS, NV 89147
· Dentist Anesthesiologist
· NPI assigned 06/07/2006
$120K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,187 |
$52K |
| 2019 |
513 |
$24K |
| 2020 |
309 |
$11K |
| 2021 |
292 |
$11K |
| 2022 |
252 |
$13K |
| 2023 |
213 |
$6K |
| 2024 |
144 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
642 |
111 |
$49K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
251 |
220 |
$19K |
| D0330 |
Panoramic radiographic image |
766 |
704 |
$18K |
| D9222 |
|
290 |
219 |
$12K |
| D0140 |
Limited oral evaluation - problem focused |
368 |
323 |
$10K |
| D9612 |
|
231 |
202 |
$8K |
| D0190 |
|
362 |
344 |
$5K |