ROJO SEGURA, PEDRO
NPI: 1942929112
· BROWN DEER, WI 53223
· Dental Hygienist
· NPI assigned 08/23/2022
$175K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,260 |
$52K |
| 2024 |
6,405 |
$123K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,838 |
1,828 |
$55K |
| D1351 |
Sealant - per tooth |
2,031 |
723 |
$42K |
| D1206 |
Topical application of fluoride varnish |
1,949 |
1,936 |
$33K |
| D0191 |
|
1,981 |
1,969 |
$28K |
| D1208 |
Topical application of fluoride, excluding varnish |
786 |
784 |
$14K |
| D1110 |
Prophylaxis - adult |
80 |
80 |
$3K |