OCHOA, PEDRO
NPI: 1942642103
· MILWAUKEE, WI 53212
· General Practice Dentistry
· NPI assigned 07/29/2013
$310K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
882 |
$27K |
| 2019 |
1,706 |
$53K |
| 2020 |
1,032 |
$33K |
| 2021 |
1,828 |
$54K |
| 2022 |
2,405 |
$74K |
| 2023 |
1,027 |
$32K |
| 2024 |
1,056 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
3,070 |
2,954 |
$106K |
| D1120 |
Prophylaxis - child |
2,024 |
1,975 |
$85K |
| D1351 |
Sealant - per tooth |
1,597 |
438 |
$32K |
| D1110 |
Prophylaxis - adult |
713 |
704 |
$29K |
| D0120 |
Periodic oral evaluation - established patient |
1,374 |
1,355 |
$28K |
| D0274 |
Bitewings - four radiographic images |
1,020 |
1,002 |
$24K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
57 |
40 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
48 |
42 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
17 |
12 |
$425.00 |
| D9992 |
|
16 |
16 |
$352.00 |