SALCEDO, CARMEN
NPI: 1699764233
· CLIFFSIDE PARK, NJ 07010
· General Practice Dentistry
· NPI assigned 10/17/2005
$119K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,339 |
$48K |
| 2019 |
1,705 |
$69K |
| 2020 |
114 |
$2K |
| 2021 |
27 |
$574.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
1,039 |
214 |
$69K |
| D2332 |
|
268 |
104 |
$18K |
| D1110 |
Prophylaxis - adult |
447 |
447 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
471 |
471 |
$8K |
| D0274 |
Bitewings - four radiographic images |
373 |
373 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
433 |
432 |
$2K |
| D2394 |
|
28 |
13 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
126 |
125 |
$885.65 |