MALDONADO, MARCELO
NPI: 1851546410
· FARMINGTON, CT 06032
· General Practice Dentistry
· NPI assigned 11/24/2008
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
225 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
15 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
27 |
14 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
31 |
15 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
37 |
20 |
$0.00 |
| D1120 |
Prophylaxis - child |
28 |
14 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
25 |
13 |
$0.00 |
| D1110 |
Prophylaxis - adult |
25 |
14 |
$0.00 |
| D0330 |
Panoramic radiographic image |
24 |
12 |
$0.00 |