CONSOLIDATED DENTAL OFFICE PSC
NPI: 1023349537
· CAGUAS, PR 00725
· Dental Clinic/Center
· NPI assigned 01/22/2010
$171K
Total Medicaid Paid
Provider Details
| Authorized Official | COLON, PEDRO (PRESIDENT) |
| NPI Enumeration Date | 01/22/2010 |
Related Entities
Other providers sharing the same authorized official: COLON, PEDRO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,092 |
$19K |
| 2019 |
1,504 |
$28K |
| 2020 |
531 |
$11K |
| 2021 |
493 |
$9K |
| 2022 |
1,577 |
$30K |
| 2023 |
1,795 |
$35K |
| 2024 |
1,873 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,897 |
2,311 |
$80K |
| D0120 |
Periodic oral evaluation - established patient |
2,767 |
2,183 |
$38K |
| D1999 |
|
2,327 |
1,900 |
$35K |
| D0210 |
Intraoral - complete series of radiographic images |
187 |
165 |
$8K |
| D0272 |
Bitewings - two radiographic images |
296 |
243 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
221 |
209 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
170 |
155 |
$3K |