MALDONADO, JUAN
NPI: 1790908101
· NORTH PLAINFIELD, NJ 07060
· General Practice Dentistry
· NPI assigned 04/11/2007
$414.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
39 |
$414.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$330.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$45.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$39.00 |