RODRIGUEZ DENTAL GROUP, P.A.
NPI: 1689782104
· MCALLEN, TX 78501
· General Practice Dentistry
· NPI assigned 08/25/2006
$245K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: RODRIGUEZ, RICARDO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
348 |
$8K |
| 2021 |
4,138 |
$92K |
| 2022 |
3,796 |
$80K |
| 2023 |
2,205 |
$44K |
| 2024 |
1,236 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,885 |
2,816 |
$76K |
| D1110 |
Prophylaxis - adult |
1,193 |
1,165 |
$60K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,875 |
2,814 |
$39K |
| D0274 |
Bitewings - four radiographic images |
654 |
637 |
$21K |
| D1120 |
Prophylaxis - child |
635 |
617 |
$20K |
| D1351 |
Sealant - per tooth |
649 |
125 |
$17K |
| D0210 |
Intraoral - complete series of radiographic images |
127 |
123 |
$8K |
| D0272 |
Bitewings - two radiographic images |
173 |
171 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
17 |
$212.26 |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
17 |
$194.52 |
| D0601 |
|
2,398 |
2,353 |
$0.00 |
| D0602 |
|
98 |
98 |
$0.00 |