SERGIO PEREIRA & SIMONNE PATRICK, DDS A PROF CORP
NPI: 1972038321
· ELK GROVE, CA 95757
· 1223G0001X
$975.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$975.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
|
13 |
13 |
$520.00 |
| D0150 |
|
13 |
13 |
$455.00 |