ANGEL OTERO DENTAL OFFICE PSC
NPI: 1083882831
· SAN JUAN, PR 00918
· Dental Clinic/Center
· NPI assigned 02/14/2008
$165K
Total Medicaid Paid
6,836
Beneficiary Records
Provider Details
| Authorized Official | OTERO, ANGEL (DENTIST/OWNER) |
| NPI Enumeration Date | 02/14/2008 |
Related Entities
Other providers sharing the same authorized official: OTERO, ANGEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
940 |
$16K |
| 2019 |
1,244 |
$24K |
| 2020 |
1,059 |
$25K |
| 2021 |
1,014 |
$20K |
| 2022 |
1,355 |
$26K |
| 2023 |
880 |
$19K |
| 2024 |
1,621 |
$35K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,305 |
1,943 |
$66K |
| D1999 |
|
2,079 |
1,781 |
$32K |
| D0120 |
Periodic oral evaluation - established patient |
1,764 |
1,467 |
$25K |
| D0210 |
Intraoral - complete series of radiographic images |
363 |
300 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
797 |
689 |
$15K |
| D0272 |
Bitewings - two radiographic images |
408 |
321 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
318 |
271 |
$4K |
| D0330 |
Panoramic radiographic image |
36 |
36 |
$946.16 |
| D1120 |
Prophylaxis - child |
43 |
28 |
$696.60 |