VEGA MORALES, VICTOR
NPI: 1962881680
· NARANJITO, PR 00719
· Student in an Organized Health Care Education/Training Program
· NPI assigned 05/27/2015
$823.77
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
52 |
$311.58 |
| 2019 |
39 |
$512.19 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$294.46 |
| D0220 |
Intraoral - periapical first radiographic image |
54 |
53 |
$285.63 |
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$243.68 |