COLLEEN QUESADA DMD PLLC
NPI: 1982861829
· FARWELL, MI 48622
· Dentist
· NPI assigned 05/19/2008
$196K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,488 |
$46K |
| 2019 |
1,236 |
$38K |
| 2020 |
766 |
$23K |
| 2021 |
1,054 |
$31K |
| 2022 |
783 |
$22K |
| 2023 |
1,202 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,637 |
1,637 |
$61K |
| D0120 |
Periodic oral evaluation - established patient |
1,829 |
1,829 |
$48K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,936 |
1,934 |
$43K |
| D1110 |
Prophylaxis - adult |
289 |
289 |
$15K |
| D0274 |
Bitewings - four radiographic images |
398 |
398 |
$13K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
82 |
39 |
$6K |
| D0272 |
Bitewings - two radiographic images |
238 |
238 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
108 |
108 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$194.23 |