ISABELA DENTAL CLINIC
NPI: 1144413535
· ISABELA, PR 00662
· Dental Clinic/Center
· NPI assigned 08/20/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
292 |
$5K |
| 2020 |
282 |
$5K |
| 2021 |
440 |
$6K |
| 2022 |
297 |
$5K |
| 2024 |
72 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
534 |
514 |
$8K |
| D1110 |
Prophylaxis - adult |
263 |
212 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
344 |
287 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
116 |
42 |
$964.96 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
12 |
$459.54 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
13 |
$380.64 |
| D1120 |
Prophylaxis - child |
27 |
12 |
$362.40 |
| D0220 |
Intraoral - periapical first radiographic image |
42 |
42 |
$347.47 |