CABRERA, JOSE
NPI: 1851735096
· HUMBLE, TX 77338
· General Practice Dentistry
· NPI assigned 04/18/2013
$327.12
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
72 |
$176.40 |
| 2023 |
94 |
$150.72 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$176.40 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$150.72 |
| D0603 |
|
142 |
142 |
$0.00 |