ESPINOSA-DOVALE, MARIA
NPI: 1962530600
· WEST NEW YORK, NJ 07093
· General Practice Dentistry
· NPI assigned 03/02/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
164 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$394.00 |
| D1206 |
Topical application of fluoride varnish |
55 |
55 |
$262.50 |
| D1120 |
Prophylaxis - child |
25 |
25 |
$198.00 |
| D0220 |
Intraoral - periapical first radiographic image |
44 |
43 |
$102.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$91.00 |