DE JESUS, EVELYN
NPI: 1083710511
· RIO GRANDE, PR 00745
· Dentist
· NPI assigned 09/15/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
717 |
$10K |
| 2019 |
44 |
$1K |
| 2020 |
64 |
$799.92 |
| 2021 |
266 |
$4K |
| 2022 |
105 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
500 |
423 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
283 |
241 |
$3K |
| D0272 |
Bitewings - two radiographic images |
105 |
81 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
84 |
28 |
$417.10 |
| D0220 |
Intraoral - periapical first radiographic image |
65 |
62 |
$384.72 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
15 |
$192.60 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$171.00 |
| D1999 |
|
129 |
113 |
$0.00 |