ARIZMENDI, OVIDIO
NPI: 1902011984
· GURABO, PR 00778
· Dentist
· NPI assigned 05/11/2007
$556K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,656 |
$46K |
| 2019 |
4,572 |
$87K |
| 2020 |
1,610 |
$36K |
| 2021 |
2,489 |
$47K |
| 2022 |
5,295 |
$104K |
| 2023 |
5,417 |
$102K |
| 2024 |
6,553 |
$133K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
5,389 |
4,430 |
$152K |
| D1999 |
|
6,307 |
5,048 |
$93K |
| D0330 |
Panoramic radiographic image |
2,241 |
1,879 |
$66K |
| D0120 |
Periodic oral evaluation - established patient |
4,621 |
3,752 |
$66K |
| D0272 |
Bitewings - two radiographic images |
3,716 |
3,060 |
$55K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,932 |
1,670 |
$38K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,303 |
1,886 |
$33K |
| D1120 |
Prophylaxis - child |
1,083 |
888 |
$21K |
| D7140 |
Extraction, erupted tooth or exposed root |
468 |
332 |
$16K |
| D2140 |
|
519 |
362 |
$15K |
| D2940 |
|
13 |
12 |
$399.75 |