ARIAS-MUNOZ, ILEANA
NPI: 1831300755
· WEST NEW YORK, NJ 07093
· General Practice Dentistry
· NPI assigned 05/24/2007
$293.60
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$293.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$121.12 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$118.34 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$54.14 |