GUERRA, JESUS
NPI: 1790792463
· MISSION, TX 78572
· General Practice Dentistry
· NPI assigned 08/02/2006
$121K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
566 |
$15K |
| 2021 |
1,788 |
$39K |
| 2022 |
1,580 |
$36K |
| 2023 |
923 |
$20K |
| 2024 |
554 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,089 |
1,087 |
$31K |
| D1110 |
Prophylaxis - adult |
496 |
495 |
$27K |
| D0274 |
Bitewings - four radiographic images |
500 |
500 |
$17K |
| D1351 |
Sealant - per tooth |
638 |
96 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,104 |
1,102 |
$16K |
| D1120 |
Prophylaxis - child |
301 |
301 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
28 |
28 |
$2K |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$280.56 |
| D0603 |
|
1,243 |
1,239 |
$0.00 |