C.G. DENTAL CARE C.S.P.
NPI: 1053505438
· QUEBRADILLAS, PR 00678
· General Practice Dentistry
· NPI assigned 08/29/2007
$890K
Total Medicaid Paid
Provider Details
| Authorized Official | GARCIA, CARLOS (DENTIST) |
| NPI Enumeration Date | 08/29/2007 |
Related Entities
Other providers sharing the same authorized official: GARCIA, CARLOS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,642 |
$125K |
| 2019 |
14,009 |
$244K |
| 2020 |
4,423 |
$87K |
| 2021 |
4,694 |
$85K |
| 2022 |
5,020 |
$96K |
| 2023 |
3,911 |
$78K |
| 2024 |
7,630 |
$176K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
9,612 |
7,689 |
$260K |
| D0330 |
Panoramic radiographic image |
4,309 |
3,366 |
$122K |
| D0120 |
Periodic oral evaluation - established patient |
8,688 |
7,027 |
$121K |
| D0272 |
Bitewings - two radiographic images |
7,471 |
6,013 |
$104K |
| D1999 |
|
4,428 |
4,015 |
$67K |
| D1351 |
Sealant - per tooth |
4,290 |
459 |
$58K |
| D2140 |
|
1,533 |
625 |
$40K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,160 |
1,627 |
$34K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,427 |
1,972 |
$33K |
| D1120 |
Prophylaxis - child |
1,107 |
855 |
$18K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
585 |
381 |
$17K |
| D2330 |
|
342 |
92 |
$8K |
| D7140 |
Extraction, erupted tooth or exposed root |
285 |
192 |
$7K |
| D2331 |
|
26 |
12 |
$833.50 |
| D0140 |
Limited oral evaluation - problem focused |
25 |
25 |
$292.50 |
| D0220 |
Intraoral - periapical first radiographic image |
41 |
40 |
$135.40 |