SERGIO M. LOPEZ, D.D.S.,P. L.L.C.
NPI: 1083931729
· TAMPA, FL 33614
· Dental Clinic/Center
· NPI assigned 04/20/2010
Provider Details
| Authorized Official | LOPEZ, SERGIO (DENTIST) |
| NPI Enumeration Date | 04/20/2010 |
Related Entities
Other providers sharing the same authorized official: LOPEZ, SERGIO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
392 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
54 |
54 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
48 |
32 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
48 |
30 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
34 |
34 |
$2K |
| D1110 |
Prophylaxis - adult |
48 |
48 |
$81.00 |
| D0330 |
Panoramic radiographic image |
50 |
50 |
$32.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
32 |
32 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
41 |
41 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
37 |
37 |
$0.00 |