NPI: 1104977115 · RIO PIEDRAS, PR 00926 · Dental Clinic/Center · NPI assigned 01/16/2007
| Authorized Official | QUESADA, HECTOR (ASSISTANT DEAN CLINICAL AFFAIRS) |
| NPI Enumeration Date | 01/16/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,710 | $46K |
| 2019 | 4,405 | $91K |
| 2020 | 1,898 | $42K |
| 2021 | 4,873 | $98K |
| 2022 | 3,105 | $64K |
| 2023 | 6,418 | $125K |
| 2024 | 5,606 | $113K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 9,707 | 7,157 | $135K | |
| D7140 | 3,036 | 1,124 | $121K | |
| D1110 | 2,780 | 2,319 | $69K | |
| D0150 | 2,591 | 2,229 | $51K | |
| D0210 | 829 | 768 | $30K | |
| D7210 | 308 | 135 | $30K | |
| D0120 | 1,987 | 1,671 | $25K | |
| D2150 | 619 | 377 | $21K | |
| D1208 | 1,491 | 1,267 | $20K | |
| D0140 | 1,179 | 964 | $18K | |
| D1120 | 971 | 839 | $17K | |
| D0272 | 872 | 732 | $11K | |
| D0230 | 927 | 727 | $7K | |
| D2140 | 255 | 140 | $5K | |
| D1351 | 407 | 104 | $5K | |
| D2330 | 148 | 67 | $5K | |
| D0330 | 200 | 184 | $4K | |
| D0220 | 622 | 509 | $4K | |
| D3310 | 17 | 12 | $2K | |
| D2331 | 23 | 13 | $739.50 | |
| D2160 | 20 | 12 | $626.80 | |
| D0470 | 26 | 26 | $0.00 |