NPI: 1053378992 · AIBONITO, PR 00705 · General Practice Dentistry · NPI assigned 04/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 630 | $10K |
| 2021 | 192 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 316 | 280 | $6K | |
| D1110 | Prophylaxis - adult | 76 | 66 | $2K |
| D0120 | Periodic oral evaluation - established patient | 83 | 73 | $1K |
| D0272 | Bitewings - two radiographic images | 65 | 58 | $949.76 |
| D0230 | Intraoral - periapical each additional radiographic image | 141 | 44 | $908.84 |
| D0220 | Intraoral - periapical first radiographic image | 98 | 93 | $715.09 |
| D0140 | Limited oral evaluation - problem focused | 31 | 31 | $498.42 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $270.96 |