NPI: 1083627889 · SANTURCE, PR 00909 · General Practice Dentistry · NPI assigned 08/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 186 | $3K |
| 2020 | 75 | $1K |
| 2021 | 29 | $461.77 |
| 2022 | 260 | $4K |
| 2023 | 179 | $3K |
| 2024 | 338 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 654 | 588 | $10K | |
| D1110 | Prophylaxis - adult | 159 | 157 | $5K |
| D0120 | Periodic oral evaluation - established patient | 130 | 129 | $2K |
| D0272 | Bitewings - two radiographic images | 55 | 55 | $774.19 |
| D0150 | Comprehensive oral evaluation - new or established patient | 17 | 17 | $240.91 |
| D0230 | Intraoral - periapical each additional radiographic image | 26 | 25 | $233.28 |
| D0220 | Intraoral - periapical first radiographic image | 26 | 26 | $170.76 |