GARCIA DENTAL INC
NPI: 1760620215
· SAN DIEGO, CA 92154
· Dentist
· NPI assigned 01/21/2009
$315K
Total Medicaid Paid
Provider Details
| Authorized Official | GARCIA, CARLOS (DDS) |
| NPI Enumeration Date | 01/21/2009 |
Related Entities
Other providers sharing the same authorized official: GARCIA, CARLOS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,302 |
$51K |
| 2019 |
3,014 |
$56K |
| 2020 |
2,068 |
$40K |
| 2021 |
2,090 |
$28K |
| 2022 |
2,380 |
$43K |
| 2023 |
2,663 |
$56K |
| 2024 |
2,215 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
954 |
950 |
$76K |
| D0120 |
Periodic oral evaluation - established patient |
1,275 |
1,250 |
$63K |
| D0230 |
Intraoral - periapical each additional radiographic image |
10,408 |
2,038 |
$41K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
610 |
608 |
$37K |
| D1120 |
Prophylaxis - child |
732 |
720 |
$26K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,134 |
2,117 |
$26K |
| D0274 |
Bitewings - four radiographic images |
921 |
910 |
$19K |
| D0210 |
Intraoral - complete series of radiographic images |
275 |
274 |
$12K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
141 |
101 |
$9K |
| D9430 |
|
91 |
91 |
$3K |
| D1320 |
|
90 |
90 |
$1K |
| D0272 |
Bitewings - two radiographic images |
54 |
52 |
$522.00 |
| D0270 |
|
47 |
47 |
$235.00 |