SAN FRANCISCO DENTAL, LLC
NPI: 1033551445
· SAN JUAN, PR 00927
· Dental Clinic/Center
· NPI assigned 07/26/2013
Provider Details
| Authorized Official | MENDEZ, NANETTE (PRESIDENT) |
| NPI Enumeration Date | 07/26/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
91 |
$2K |
| 2020 |
106 |
$2K |
| 2021 |
192 |
$3K |
| 2022 |
279 |
$5K |
| 2023 |
109 |
$2K |
| 2024 |
163 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1999 |
|
574 |
475 |
$9K |
| D1110 |
Prophylaxis - adult |
234 |
201 |
$7K |
| D0272 |
Bitewings - two radiographic images |
64 |
53 |
$982.77 |
| D0120 |
Periodic oral evaluation - established patient |
56 |
56 |
$655.44 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$292.92 |