VARGAS, EFRAIN
NPI: 1780788091
· VILLALBA, PR 00766
· Dentist
· NPI assigned 09/08/2006
$841.67
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$418.70 |
| 2019 |
19 |
$422.97 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
34 |
25 |
$721.57 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$120.10 |