MOLINA, JOSE
NPI: 1801116611
· ESCONDIDO, CA 92025
· Dentist
· NPI assigned 06/03/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
176 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
47 |
45 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
48 |
46 |
$2K |
| D9430 |
|
13 |
12 |
$336.00 |
| D1120 |
Prophylaxis - child |
18 |
16 |
$330.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
14 |
$108.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$88.00 |