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WISDOM TEETH AWAY INCORPORATED DENTAL PRACTICE OF JUAN JOSE ALZATE D.D
WISDOM TEETH AWAY INCORPORATED DENTAL PRACTICE OF JUAN JOSE ALZATE D.D
NPI: 1881110328
· FRESNO, CA 93710
· Dentist
· NPI assigned 08/16/2017
$11.28M
Total Medicaid Paid
Provider Details
| Authorized Official | ALZATE, JUAN (PRESIDENT) |
| NPI Enumeration Date | 08/16/2017 |
Related Entities
Other providers sharing the same authorized official: ALZATE, JUAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,882 |
$1.10M |
| 2019 |
21,202 |
$1.83M |
| 2020 |
15,948 |
$1.43M |
| 2021 |
13,754 |
$1.14M |
| 2022 |
18,972 |
$1.48M |
| 2023 |
26,851 |
$2.03M |
| 2024 |
28,014 |
$2.27M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
41,329 |
17,282 |
$4.83M |
| D7230 |
|
9,385 |
6,034 |
$1.74M |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25,776 |
25,678 |
$1.67M |
| D7240 |
Removal of impacted tooth - completely bony |
7,200 |
4,199 |
$1.63M |
| D0330 |
Panoramic radiographic image |
26,505 |
26,400 |
$781K |
| D7140 |
Extraction, erupted tooth or exposed root |
6,049 |
2,177 |
$344K |
| D0230 |
Intraoral - periapical each additional radiographic image |
16,403 |
11,570 |
$89K |
| D9430 |
|
2,681 |
2,613 |
$85K |
| D7250 |
|
423 |
133 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
457 |
456 |
$25K |
| D7220 |
|
99 |
75 |
$14K |
| D0350 |
|
838 |
564 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
421 |
409 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
32 |
32 |
$2K |
| D7261 |
|
25 |
20 |
$980.00 |