LETICIA R. TOLENTINO, DMD, INC.
NPI: 1932384658
· DELANO, CA 93215
· Dental Clinic/Center
· NPI assigned 12/31/2007
$102K
Total Medicaid Paid
Provider Details
| Authorized Official | TOLENTINO, MERYL BABETTE (OFFICE MANAGER) |
| Parent Organization | LETICIA R. TOLENTINO, DMD, INC. |
| NPI Enumeration Date | 12/31/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
808 |
$22K |
| 2019 |
386 |
$19K |
| 2020 |
109 |
$5K |
| 2021 |
164 |
$10K |
| 2022 |
376 |
$18K |
| 2023 |
324 |
$18K |
| 2024 |
123 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
662 |
659 |
$53K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
380 |
377 |
$23K |
| D0210 |
Intraoral - complete series of radiographic images |
276 |
274 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
108 |
107 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
750 |
164 |
$4K |
| D4341 |
|
38 |
12 |
$3K |
| D0274 |
Bitewings - four radiographic images |
64 |
64 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$360.00 |