REUBEN I. SAUCEDO DDS INC.
NPI: 1700207883
· AZUSA, CA 91702
· Dentist
· NPI assigned 12/17/2013
$180K
Total Medicaid Paid
Provider Details
| Authorized Official | SAUCEDO, REUBEN (PRESIDENT) |
| NPI Enumeration Date | 12/17/2013 |
Related Entities
Other providers sharing the same authorized official: SAUCEDO, REUBEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,471 |
$12K |
| 2019 |
1,519 |
$15K |
| 2020 |
1,172 |
$11K |
| 2021 |
1,790 |
$18K |
| 2022 |
2,589 |
$37K |
| 2023 |
2,788 |
$44K |
| 2024 |
2,614 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
9,296 |
1,793 |
$39K |
| D0120 |
Periodic oral evaluation - established patient |
571 |
566 |
$36K |
| D1110 |
Prophylaxis - adult |
227 |
226 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
276 |
274 |
$18K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
329 |
181 |
$18K |
| D0272 |
Bitewings - two radiographic images |
1,483 |
1,474 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,249 |
1,242 |
$16K |
| D1120 |
Prophylaxis - child |
269 |
269 |
$11K |
| D9430 |
|
83 |
80 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
148 |
139 |
$2K |
| D4910 |
|
12 |
12 |
$924.00 |