DIAZ, CAREM
NPI: 1043293251
· AIBONITO, PR 00705
· Pediatric Dentist
· NPI assigned 11/22/2005
$637.20
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
43 |
$637.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
21 |
21 |
$340.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
22 |
22 |
$297.00 |