EDEGAR VERGARA, DMD INC
NPI: 1699262634
· SAN JOSE, CA 95116
· 261QD0000X
$792K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
993 |
$29K |
| 2020 |
2,065 |
$60K |
| 2021 |
3,785 |
$115K |
| 2022 |
4,136 |
$123K |
| 2023 |
5,131 |
$152K |
| 2024 |
7,308 |
$315K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,814 |
1,810 |
$161K |
| D0150 |
|
1,912 |
1,910 |
$126K |
| D0120 |
|
1,015 |
1,010 |
$74K |
| D2740 |
|
135 |
114 |
$69K |
| D0210 |
|
1,399 |
1,396 |
$68K |
| D2391 |
|
959 |
461 |
$53K |
| D0350 |
|
5,356 |
1,455 |
$51K |
| D9430 |
|
1,254 |
1,237 |
$40K |
| D1208 |
|
2,757 |
2,749 |
$39K |
| D1120 |
|
796 |
793 |
$35K |
| D2392 |
|
269 |
220 |
$18K |
| D0220 |
|
1,371 |
1,354 |
$16K |
| D0230 |
|
3,600 |
1,157 |
$15K |
| D0274 |
|
500 |
500 |
$11K |
| D7210 |
|
71 |
36 |
$8K |
| D4910 |
|
37 |
37 |
$3K |
| D0330 |
|
70 |
70 |
$2K |
| D1351 |
|
54 |
13 |
$2K |
| D1320 |
|
25 |
25 |
$347.50 |
| D1206 |
|
12 |
12 |
$267.50 |
| D0272 |
|
12 |
12 |
$130.00 |