J.E.ARCE, D.D.S INC
NPI: 1982831673
· REDONDO BEACH, CA 90277
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/19/2009
$214K
Total Medicaid Paid
Provider Details
| Authorized Official | ARCE, JORGE (DENTIST/OWNER) |
| NPI Enumeration Date | 06/19/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
175 |
$7K |
| 2020 |
420 |
$15K |
| 2021 |
502 |
$8K |
| 2022 |
1,645 |
$72K |
| 2023 |
1,805 |
$100K |
| 2024 |
237 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
713 |
387 |
$83K |
| D9430 |
|
1,806 |
1,713 |
$58K |
| D0330 |
Panoramic radiographic image |
1,250 |
1,226 |
$37K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
324 |
324 |
$20K |
| D7230 |
|
40 |
26 |
$8K |
| D7240 |
Removal of impacted tooth - completely bony |
30 |
12 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
89 |
88 |
$1K |
| D1999 |
|
463 |
435 |
$494.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
69 |
37 |
$299.70 |