REUBEN I. SAUCEDO DENTAL CORPORATION
NPI: 1811318033
· BALDWIN PARK, CA 91706
· Dentist
· NPI assigned 12/16/2013
$345K
Total Medicaid Paid
Provider Details
| Authorized Official | SAUCEDO, REUBEN (PRESIDENT) |
| NPI Enumeration Date | 12/16/2013 |
Related Entities
Other providers sharing the same authorized official: SAUCEDO, REUBEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,990 |
$49K |
| 2019 |
3,701 |
$45K |
| 2020 |
2,378 |
$27K |
| 2021 |
3,151 |
$41K |
| 2022 |
3,347 |
$53K |
| 2023 |
3,759 |
$64K |
| 2024 |
3,663 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,005 |
1,997 |
$107K |
| D0230 |
Intraoral - periapical each additional radiographic image |
15,526 |
2,818 |
$62K |
| D1120 |
Prophylaxis - child |
1,549 |
1,544 |
$58K |
| D0272 |
Bitewings - two radiographic images |
2,505 |
2,494 |
$29K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,261 |
2,254 |
$27K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
422 |
241 |
$23K |
| D1110 |
Prophylaxis - adult |
209 |
209 |
$18K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
207 |
207 |
$12K |
| D9430 |
|
138 |
130 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
36 |
25 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
131 |
128 |
$2K |