MARIA LILIBETH L. JOSE, DDS, INC.
NPI: 1881915106
· HAYWARD, CA 94544
· General Practice Dentistry
· NPI assigned 06/21/2010
$259K
Total Medicaid Paid
8,691
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,035 |
$69K |
| 2019 |
2,341 |
$57K |
| 2020 |
1,096 |
$29K |
| 2021 |
1,366 |
$35K |
| 2022 |
1,315 |
$54K |
| 2023 |
340 |
$16K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,929 |
1,912 |
$93K |
| D1120 |
Prophylaxis - child |
2,455 |
2,437 |
$84K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,466 |
2,448 |
$29K |
| D1351 |
Sealant - per tooth |
903 |
208 |
$21K |
| D0272 |
Bitewings - two radiographic images |
964 |
958 |
$11K |
| D0274 |
Bitewings - four radiographic images |
399 |
391 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
80 |
80 |
$5K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
39 |
25 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
215 |
189 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
43 |
43 |
$2K |