SEPULVEDA, ERIC
NPI: 1164572780
· GUAYNABO, PR 00968
· General Practice Dentistry
· NPI assigned 01/12/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
124 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
55 |
55 |
$1K |
| D0272 |
Bitewings - two radiographic images |
35 |
35 |
$456.75 |
| D0120 |
Periodic oral evaluation - established patient |
34 |
34 |
$325.20 |