NPI: 1144485889 · BARRANQUITAS, PR 00794 · Dentist · NPI assigned 07/22/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,609 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 347 | 297 | $7K |
| D0330 | Panoramic radiographic image | 233 | 192 | $5K |
| D0272 | Bitewings - two radiographic images | 340 | 285 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 261 | 212 | $3K |
| D0120 | Periodic oral evaluation - established patient | 205 | 187 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 142 | 110 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 63 | 42 | $1K |
| D1120 | Prophylaxis - child | 18 | 17 | $259.20 |