RAYMOND LOTUACO DDS., INC.
NPI: 1912096116
· VALENCIA, CA 91355
· Dentist
· NPI assigned 10/12/2006
$107K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: LOTUACO, RAYMOND
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
951 |
$24K |
| 2019 |
834 |
$23K |
| 2020 |
436 |
$16K |
| 2021 |
1,100 |
$41K |
| 2022 |
93 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
592 |
589 |
$29K |
| D1110 |
Prophylaxis - adult |
442 |
441 |
$28K |
| D0210 |
Intraoral - complete series of radiographic images |
428 |
427 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,124 |
1,117 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
280 |
279 |
$11K |
| D1120 |
Prophylaxis - child |
361 |
357 |
$9K |
| D0330 |
Panoramic radiographic image |
57 |
55 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
118 |
47 |
$501.15 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$216.00 |