MYRNA AGUILAR DENTAL CORPORATION
NPI: 1801054788
· TEMECULA, CA 92590
· General Practice Dentistry
· NPI assigned 05/28/2008
$594.00
Total Medicaid Paid
Provider Details
| Authorized Official | RAMOS, ALEX (DISTICT MANAGER) |
| NPI Enumeration Date | 05/28/2008 |
Related Entities
Other providers sharing the same authorized official: RAMOS, ALEX
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$594.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$594.00 |