ORTIZ FAMILY DENTAL, LLC
NPI: 1750531091
· LAS CRUCES, NM 88011
· General Practice Dentistry
· NPI assigned 09/23/2008
$271K
Total Medicaid Paid
Provider Details
| Authorized Official | ORTIZ, RAMON (OWNER) |
| NPI Enumeration Date | 09/23/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
802 |
$61K |
| 2019 |
639 |
$54K |
| 2020 |
234 |
$22K |
| 2021 |
390 |
$33K |
| 2022 |
287 |
$25K |
| 2023 |
505 |
$42K |
| 2024 |
369 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9920 |
|
2,419 |
2,075 |
$240K |
| D1110 |
Prophylaxis - adult |
591 |
590 |
$25K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
190 |
189 |
$6K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$320.22 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$237.58 |