GUERRA DENTISTRY, P.A.
NPI: 1902815020
· MISSION, TX 78572
· Dental Clinic/Center
· NPI assigned 08/07/2006
$240K
Total Medicaid Paid
Provider Details
| Authorized Official | GUERRA, JESUS (OWNER) |
| NPI Enumeration Date | 08/07/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
262 |
$7K |
| 2021 |
2,975 |
$75K |
| 2022 |
2,757 |
$67K |
| 2023 |
2,285 |
$56K |
| 2024 |
1,563 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,143 |
1,143 |
$62K |
| D0120 |
Periodic oral evaluation - established patient |
2,008 |
2,003 |
$57K |
| D0274 |
Bitewings - four radiographic images |
1,166 |
1,163 |
$40K |
| D1120 |
Prophylaxis - child |
774 |
771 |
$28K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,742 |
1,740 |
$25K |
| D0210 |
Intraoral - complete series of radiographic images |
326 |
324 |
$21K |
| D1351 |
Sealant - per tooth |
169 |
26 |
$5K |
| D0272 |
Bitewings - two radiographic images |
40 |
40 |
$935.82 |
| D0603 |
|
2,474 |
2,468 |
$0.00 |