EDGAR D. ROQUE, D.D.S., INC
NPI: 1831581537
· HANFORD, CA 93230
· Dentist
· NPI assigned 03/04/2015
$344K
Total Medicaid Paid
Provider Details
| Authorized Official | ROQUE, EDGAR (PRESIDENT) |
| NPI Enumeration Date | 03/04/2015 |
Related Entities
Other providers sharing the same authorized official: ROQUE, EDGAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,522 |
$65K |
| 2019 |
2,092 |
$68K |
| 2020 |
1,497 |
$50K |
| 2021 |
1,156 |
$38K |
| 2022 |
1,335 |
$50K |
| 2023 |
1,001 |
$47K |
| 2024 |
615 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
874 |
860 |
$69K |
| D0120 |
Periodic oral evaluation - established patient |
1,290 |
1,276 |
$65K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,028 |
1,015 |
$61K |
| D1120 |
Prophylaxis - child |
1,265 |
1,251 |
$43K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,817 |
1,342 |
$30K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,017 |
1,992 |
$24K |
| D0210 |
Intraoral - complete series of radiographic images |
499 |
496 |
$23K |
| D0274 |
Bitewings - four radiographic images |
665 |
657 |
$14K |
| D1206 |
Topical application of fluoride varnish |
303 |
300 |
$5K |
| D9430 |
|
100 |
95 |
$3K |
| D0330 |
Panoramic radiographic image |
130 |
121 |
$3K |
| D1320 |
|
106 |
103 |
$2K |
| D0272 |
Bitewings - two radiographic images |
69 |
69 |
$795.00 |
| D0220 |
Intraoral - periapical first radiographic image |
55 |
53 |
$660.00 |