CLINICA DENTAL DE LA FAMILIA
NPI: 1114048063
· SANTA ISABEL, PR 00757
· Dental Clinic/Center
· NPI assigned 04/02/2007
Provider Details
| Authorized Official | RAMOS, ARLEEN (PRESIDENT) |
| NPI Enumeration Date | 04/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
368 |
$6K |
| 2019 |
569 |
$10K |
| 2020 |
261 |
$4K |
| 2021 |
292 |
$4K |
| 2022 |
673 |
$13K |
| 2023 |
94 |
$2K |
| 2024 |
280 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
599 |
509 |
$16K |
| D1999 |
|
795 |
662 |
$10K |
| D0272 |
Bitewings - two radiographic images |
404 |
355 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
320 |
280 |
$4K |
| D0330 |
Panoramic radiographic image |
114 |
106 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
149 |
127 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
102 |
93 |
$1K |
| D1120 |
Prophylaxis - child |
54 |
46 |
$921.00 |