SOCHIRCA, ION
NPI: 1891473997
· RACINE, WI 53406
· General Practice Dentistry
· NPI assigned 07/07/2023
$294.37
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
126 |
$294.37 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$146.33 |
| D1206 |
Topical application of fluoride varnish |
28 |
28 |
$92.10 |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
40 |
$31.43 |
| D0230 |
Intraoral - periapical each additional radiographic image |
33 |
27 |
$24.51 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$0.00 |