NPI: 1134264005 · MAYAGUEZ, PR 00680 · General Practice Dentistry · NPI assigned 02/20/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,588 | $22K |
| 2019 | 712 | $11K |
| 2020 | 546 | $11K |
| 2021 | 1,312 | $23K |
| 2022 | 813 | $16K |
| 2023 | 428 | $9K |
| 2024 | 388 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,796 | 1,746 | $44K |
| D0120 | Periodic oral evaluation - established patient | 1,502 | 1,460 | $19K |
| D1999 | 864 | 810 | $13K | |
| D1208 | Topical application of fluoride, excluding varnish | 769 | 736 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 488 | 464 | $9K |
| D1120 | Prophylaxis - child | 256 | 237 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 94 | 92 | $533.20 |
| D7140 | Extraction, erupted tooth or exposed root | 18 | 15 | $338.40 |