NPI: 1033246855 · QUEBRADILLAS, PR 00678 · General Practice Dentistry · NPI assigned 02/28/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 526 | $8K |
| 2019 | 441 | $7K |
| 2020 | 204 | $4K |
| 2021 | 279 | $4K |
| 2022 | 490 | $9K |
| 2023 | 478 | $9K |
| 2024 | 951 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 1,508 | 1,258 | $22K | |
| D1110 | Prophylaxis - adult | 696 | 561 | $20K |
| D0120 | Periodic oral evaluation - established patient | 553 | 438 | $7K |
| D2140 | 148 | 109 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | 159 | 122 | $2K |
| D0140 | Limited oral evaluation - problem focused | 141 | 101 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 88 | 68 | $2K |
| D1120 | Prophylaxis - child | 42 | 36 | $635.40 |
| D7140 | Extraction, erupted tooth or exposed root | 21 | 16 | $469.50 |
| D0220 | Intraoral - periapical first radiographic image | 13 | 13 | $60.80 |