CONSULTORIO DENTAL DRA OTERO PADRO
NPI: 1063506129
· CAMUY, PR 00627
· General Practice Dentistry
· NPI assigned 10/03/2006
$261K
Total Medicaid Paid
Provider Details
| Authorized Official | CANCEL, MARITZA (DENTISTA) |
| NPI Enumeration Date | 10/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,015 |
$45K |
| 2020 |
1,115 |
$23K |
| 2021 |
1,549 |
$29K |
| 2022 |
2,115 |
$42K |
| 2023 |
1,412 |
$30K |
| 2024 |
4,188 |
$91K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,798 |
2,419 |
$82K |
| D1999 |
|
3,022 |
2,527 |
$44K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,310 |
1,147 |
$28K |
| D0330 |
Panoramic radiographic image |
896 |
782 |
$28K |
| D0272 |
Bitewings - two radiographic images |
1,905 |
1,657 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
1,957 |
1,679 |
$27K |
| D1208 |
Topical application of fluoride, excluding varnish |
991 |
866 |
$14K |
| D1120 |
Prophylaxis - child |
404 |
350 |
$7K |
| D2940 |
|
54 |
45 |
$1K |
| D7140 |
Extraction, erupted tooth or exposed root |
44 |
40 |
$913.40 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$157.40 |