JOSE C. CASTILLO, D.D.S., INC.
NPI: 1790271039
· SAN DIEGO, CA 92103
· Pediatric Dentist
· NPI assigned 07/10/2018
$845.00
Total Medicaid Paid
Provider Details
| Authorized Official | CASTILLO, JOSE (PRESIDENT) |
| NPI Enumeration Date | 07/10/2018 |
Related Entities
Other providers sharing the same authorized official: CASTILLO, JOSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$845.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$455.00 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$390.00 |