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TERESA M. AVENDANO-GALVEZ,DMD, A PROFESSIONAL CORPORATION
TERESA M. AVENDANO-GALVEZ,DMD, A PROFESSIONAL CORPORATION
NPI: 1831307610
· GARDENA, CA 90248
· General Practice Dentistry
· NPI assigned 05/18/2007
$199K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: AVENDANO-GALVEZ, TERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,905 |
$39K |
| 2019 |
2,107 |
$43K |
| 2020 |
911 |
$23K |
| 2021 |
729 |
$16K |
| 2022 |
778 |
$22K |
| 2023 |
866 |
$35K |
| 2024 |
749 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,050 |
1,050 |
$54K |
| D1110 |
Prophylaxis - adult |
645 |
645 |
$54K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
414 |
414 |
$26K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,011 |
1,145 |
$20K |
| D1120 |
Prophylaxis - child |
577 |
577 |
$18K |
| D0274 |
Bitewings - four radiographic images |
509 |
509 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
178 |
178 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
458 |
458 |
$5K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
22 |
14 |
$1K |
| D9430 |
|
43 |
36 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
86 |
84 |
$952.00 |
| D0272 |
Bitewings - two radiographic images |
30 |
30 |
$300.00 |
| D0350 |
|
22 |
17 |
$132.00 |