PATRICIA MORALES, DDS PA
NPI: 1891909107
· ROGERS, AR 72756
· Dental Clinic/Center
· NPI assigned 05/09/2007
$316K
Total Medicaid Paid
Provider Details
| Authorized Official | MORALES, THELMA (PRESIDENT) |
| NPI Enumeration Date | 05/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,290 |
$93K |
| 2019 |
3,050 |
$87K |
| 2020 |
1,406 |
$40K |
| 2021 |
1,369 |
$38K |
| 2022 |
1,558 |
$45K |
| 2023 |
450 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,466 |
2,037 |
$113K |
| D0120 |
Periodic oral evaluation - established patient |
3,372 |
2,785 |
$86K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,189 |
2,630 |
$62K |
| D0272 |
Bitewings - two radiographic images |
1,391 |
1,159 |
$30K |
| D2140 |
|
123 |
45 |
$7K |
| D1120 |
Prophylaxis - child |
232 |
154 |
$7K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
228 |
134 |
$6K |
| D1351 |
Sealant - per tooth |
90 |
27 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
19 |
12 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$1K |