GAVILANES - MENDEZ, RAFAEL
NPI: 1154726131
· SAN ANTONIO, PR 00690
· Oral and Maxillofacial Surgery (Dentist)
$1.08M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
573 |
$41K |
| 2019 |
4,243 |
$283K |
| 2020 |
3,667 |
$218K |
| 2021 |
5,634 |
$309K |
| 2022 |
3,686 |
$201K |
| 2023 |
133 |
$4K |
| 2024 |
513 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
|
2,019 |
676 |
$324K |
| D7210 |
|
3,599 |
1,849 |
$261K |
| D9223 |
|
2,350 |
1,145 |
$149K |
| D0160 |
|
3,490 |
3,133 |
$116K |
| D9222 |
|
1,297 |
1,138 |
$110K |
| D1999 |
|
3,057 |
2,752 |
$46K |
| D0330 |
|
1,664 |
1,510 |
$40K |
| D7230 |
|
153 |
92 |
$22K |
| D7250 |
|
187 |
92 |
$12K |
| D9995 |
|
102 |
95 |
$1K |
| D0140 |
|
103 |
96 |
$1K |
| D9219 |
|
428 |
414 |
$1K |