DENTISTAS ASOCIADOS DE PUERTO RICO
NPI: 1164007514
· SABANA GRANDE, PR 00637
· Prosthodontist
· NPI assigned 03/16/2021
$617K
Total Medicaid Paid
Provider Details
| Authorized Official | ALAMEDA, MARVIN (PRESIDENT) |
| NPI Enumeration Date | 03/16/2021 |
Related Entities
Other providers sharing the same authorized official: ALAMEDA, MARVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,212 |
$55K |
| 2022 |
2,461 |
$45K |
| 2023 |
5,530 |
$83K |
| 2024 |
22,829 |
$435K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
5,300 |
3,352 |
$154K |
| D1999 |
|
5,979 |
3,668 |
$83K |
| D0120 |
Periodic oral evaluation - established patient |
4,141 |
2,439 |
$63K |
| D0272 |
Bitewings - two radiographic images |
3,720 |
2,340 |
$55K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,656 |
1,538 |
$49K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,088 |
1,431 |
$49K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
957 |
502 |
$45K |
| D0330 |
Panoramic radiographic image |
1,303 |
671 |
$42K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,515 |
910 |
$22K |
| D0220 |
Intraoral - periapical first radiographic image |
2,090 |
1,558 |
$17K |
| D2140 |
|
440 |
245 |
$17K |
| D1120 |
Prophylaxis - child |
724 |
434 |
$15K |
| D2160 |
|
40 |
36 |
$2K |
| D2335 |
|
19 |
14 |
$1K |
| D2332 |
|
22 |
17 |
$1K |
| D2330 |
|
24 |
15 |
$972.84 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$290.92 |