MARILOU D. ELIDO, DMD, INC.
NPI: 1902098809
· TUSTIN, CA 92780
· General Practice Dentistry
· NPI assigned 08/14/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
435 |
$4K |
| 2019 |
330 |
$4K |
| 2020 |
118 |
$1K |
| 2021 |
295 |
$2K |
| 2022 |
284 |
$3K |
| 2023 |
398 |
$6K |
| 2024 |
200 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
149 |
149 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,281 |
502 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
331 |
331 |
$4K |
| D0274 |
Bitewings - four radiographic images |
133 |
133 |
$3K |
| D1120 |
Prophylaxis - child |
72 |
72 |
$2K |
| D1110 |
Prophylaxis - adult |
16 |
16 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
64 |
64 |
$742.00 |
| D1999 |
|
14 |
14 |
$46.00 |