MACIAS AND CRESPO DENTAL CORPORATION
NPI: 1942674734
· SAN PABLO, CA 94806
· Dental Clinic/Center
· NPI assigned 11/17/2015
Provider Details
| Authorized Official | CRESPO, PAUL (PRESIDENT) |
| NPI Enumeration Date | 11/17/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
78 |
$2K |
| 2019 |
62 |
$2K |
| 2023 |
12 |
$760.00 |
| 2024 |
87 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
62 |
62 |
$3K |
| D1120 |
Prophylaxis - child |
67 |
67 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
62 |
62 |
$609.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
48 |
26 |
$186.30 |