MONTEIRO, LURLENE
NPI: 1689738114
· JENKINTOWN, PA 19046
· General Practice Dentistry
· NPI assigned 12/20/2006
$107K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
287 |
$6K |
| 2019 |
171 |
$3K |
| 2020 |
27 |
$585.00 |
| 2021 |
2,966 |
$56K |
| 2023 |
99 |
$2K |
| 2024 |
1,797 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,041 |
1,040 |
$25K |
| D1206 |
Topical application of fluoride varnish |
1,125 |
1,122 |
$24K |
| D1120 |
Prophylaxis - child |
738 |
738 |
$22K |
| D1110 |
Prophylaxis - adult |
203 |
203 |
$8K |
| D0272 |
Bitewings - two radiographic images |
354 |
354 |
$7K |
| D1330 |
|
905 |
905 |
$7K |
| D0603 |
|
426 |
426 |
$4K |
| D1310 |
|
373 |
373 |
$4K |
| D0274 |
Bitewings - four radiographic images |
100 |
100 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
39 |
28 |
$3K |
| D0602 |
|
43 |
43 |
$420.00 |