A&O DENTAL P.S.C.
NPI: 1033583547
· NAGUABO, PR 00718
· Dentist
· NPI assigned 11/20/2015
$106K
Total Medicaid Paid
Provider Details
| Authorized Official | ROSA, ERNESTO (PRESIDENT) |
| NPI Enumeration Date | 11/20/2015 |
Related Entities
Other providers sharing the same authorized official: ROSA, ERNESTO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
18 |
$383.86 |
| 2020 |
633 |
$10K |
| 2021 |
467 |
$9K |
| 2022 |
1,001 |
$19K |
| 2023 |
1,594 |
$34K |
| 2024 |
1,570 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,271 |
970 |
$39K |
| D1999 |
|
2,281 |
1,802 |
$35K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
432 |
344 |
$9K |
| D0272 |
Bitewings - two radiographic images |
640 |
495 |
$9K |
| D0330 |
Panoramic radiographic image |
277 |
224 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
286 |
228 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
31 |
19 |
$342.84 |
| D1208 |
Topical application of fluoride, excluding varnish |
36 |
32 |
$251.42 |
| D1120 |
Prophylaxis - child |
16 |
12 |
$73.60 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$31.70 |