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MAXILLOFACIAL PROSTHETICS & IMPLANT DENTISTRY PC
MAXILLOFACIAL PROSTHETICS & IMPLANT DENTISTRY PC
NPI: 1689827933
· MCALLEN, TX 78504
· Prosthodontist
· NPI assigned 10/30/2008
$177K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
106 |
$3K |
| 2021 |
2,021 |
$57K |
| 2022 |
2,076 |
$46K |
| 2023 |
1,771 |
$39K |
| 2024 |
1,441 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,627 |
1,475 |
$87K |
| D0120 |
Periodic oral evaluation - established patient |
2,044 |
1,885 |
$50K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,514 |
1,365 |
$24K |
| D5110 |
|
16 |
16 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
71 |
65 |
$3K |
| D0330 |
Panoramic radiographic image |
37 |
37 |
$1K |
| D5411 |
|
13 |
13 |
$384.75 |
| D5410 |
|
12 |
12 |
$308.25 |
| D0601 |
|
2,081 |
1,910 |
$0.00 |