MRS. MARIA T ALARCON DDS
NPI 1427198134
Dentist - General Practice in Richmond, CA

Medicare Participation & PECOS Enrollment Status

Maria Alarcon is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Maria Alarcon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 8022372820

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20190222000445

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

3d radiographic procedure

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

This service was performed 13 times for 13 patients

Complicated drainage of abscess, cyst, or blood accumulation of mouth

This procedure involves the careful removal of abnormal fluid collections, like pus or blood, from the mouth. It can be required for various reasons, such as an abscess, cyst, or blood accumulation. The process is performed under local anesthesia to minimize discomfort.

This service was performed 16 times for 13 patients

Ct scan of face without contrast

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

This service was performed 20 times for 20 patients

Drainage of abscess, cyst, or blood accumulation of tongue or floor of mouth from inside mouth

This procedure involves relieving a buildup of pus, fluid, or blood in the tongue or floor of the mouth. A healthcare professional makes a small incision inside the mouth to drain the buildup, helping to reduce discomfort and prevent further complications.

This service was performed 15 times for 14 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 57 times for 48 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 14 times for 14 patients

Impression and custom preparation of temporary oral prosthesis

This procedure involves taking an impression of your mouth to create a custom temporary oral prosthesis. This temporary device helps protect your teeth and gums while your permanent prosthesis is being made, ensuring a comfortable and effective fit.

This service was performed 19 times for 19 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 17 times for 17 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

This service was performed 45 times for 33 patients

Preparation of permanent prosthesis to close mouth opening

A permanent prosthesis is a custom-made device designed to close a mouth opening. It's prepared after careful evaluation of your oral structure. This device aids in functions like speaking, eating, and facial appearance. It's a safe, effective solution for oral health improvement.

This service was performed 17 times for 17 patients

Removal of face bone

Removal of a facial bone is a surgical procedure aimed at treating conditions like tumors or fractures. It involves making incisions to access the affected bone, then carefully removing it. This procedure requires general anesthesia and may result in temporary facial swelling or numbness.

This service was performed 24 times for 17 patients

Removal of growth of mouth with simple repair

This procedure involves the surgical removal of an abnormal growth in the mouth. After the growth is removed, a simple repair is done to heal the area. This can include stitches or other methods to close the wound, promoting quick and effective healing.

This service was performed 58 times for 34 patients

Removal of lower jaw bone

The removal of the lower jaw bone, or mandibulectomy, is a surgical procedure performed to treat conditions like oral cancer or severe trauma. It involves removing part or all of the lower jaw to prevent disease spread or repair damage. Post-surgery, reconstructive measures may be taken for functionality and appearance.

This service was performed 21 times for 16 patients

Repair of lower jaw bone with bone graft

This procedure involves the use of bone grafts to repair defects or damages in your lower jaw bone. A bone graft is a piece of bone taken from another part of your body or a special bone material. It helps stimulate new bone growth and provide structural stability.

This service was performed 29 times for 21 patients

Repair of nasal or cheek bone with bone graft

This procedure involves fixing damaged nasal or cheek bones using a bone graft. A bone graft is a piece of healthy bone taken from another area of your body, or a special bone-like material. It's used to help your damaged bone heal, restore its original shape, or improve its function.

This service was performed 39 times for 27 patients

Simple drainage of abscess, cyst, or blood accumulation of mouth

This procedure involves the removal of fluid or pus from an abscess, cyst, or blood accumulation in the mouth. It's done by making a small incision, then gently draining the contents. This helps alleviate pain and promotes healing. It's a common, safe procedure.

This service was performed 25 times for 21 patients

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less

This is a procedure to fix a surface wound on the face, ears, eyelids, nose, lips, or mouth. It involves cleaning the wound and stitching it up if it's 2.5 cm or less in length. The aim is to prevent infection and promote healing.

This service was performed 22 times for 22 patients

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm

This procedure involves the repair of a surface wound on your face, ears, eyelids, nose, lips, or mouth. The wound size is between 2.6-5.0 cm. The process includes cleaning the wound and stitching it up to promote healing and minimize scarring.

This service was performed 15 times for 14 patients

X-ray of face bones, 1-2 views

An X-ray of face bones, with 1-2 views, is a simple, quick imaging test. It uses a small amount of radiation to produce images of the bones in your face. This test can help detect fractures, infections, or other abnormalities. It's painless and non-invasive.

This service was performed 26 times for 25 patients

X-ray of lower jaws, upper jaws and teeth

An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.

This service was performed 18 times for 18 patients

X-ray of part of lower jaw, 1-4 views

An X-ray of the lower jaw, with 1-4 views, is a non-invasive imaging procedure. It helps visualize the jaw structure, checking for issues like fractures, infections, or dental problems. It's quick, painless, and provides valuable information for your treatment plan.

This service was performed 19 times for 19 patients

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $26.12 for a new patient copayment and $21.22 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94805 ZIP code area.

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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