VILLARREAL, CRYSTAL
NPI: 1760895742
· SAN BENITO, TX 78586
· Dentist
· NPI assigned 06/06/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
100 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$658.56 |
| D0120 |
Periodic oral evaluation - established patient |
22 |
22 |
$634.70 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$514.50 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$380.71 |
| D1208 |
Topical application of fluoride, excluding varnish |
24 |
24 |
$352.80 |
| D0603 |
|
14 |
14 |
$0.00 |