HTWE, TIN
NPI: 1780715391
· SAN GABRIEL, CA 91776
· General Practice Dentistry
· NPI assigned 03/07/2007
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,140 |
$0.00 |
| 2019 |
782 |
$0.00 |
| 2020 |
304 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
257 |
236 |
$0.00 |
| D1120 |
Prophylaxis - child |
295 |
294 |
$0.00 |
| D2140 |
|
18 |
12 |
$0.00 |
| D1999 |
|
17 |
16 |
$0.00 |
| D1330 |
|
221 |
219 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
405 |
394 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
529 |
498 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
190 |
175 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
294 |
293 |
$0.00 |