LICDENTALANDMEDICALCSP
NPI: 1164706297
· CANOVANAS, PR 00729
· General Practice Dentistry
· NPI assigned 10/07/2011
Provider Details
| Authorized Official | ITURRINO, LUIS (PRESIDENT) |
| NPI Enumeration Date | 10/07/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
496 |
$9K |
| 2019 |
1,484 |
$27K |
| 2020 |
125 |
$3K |
| 2021 |
303 |
$5K |
| 2022 |
227 |
$4K |
| 2023 |
192 |
$3K |
| 2024 |
104 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
412 |
369 |
$11K |
| D0330 |
Panoramic radiographic image |
322 |
261 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
428 |
361 |
$7K |
| D0272 |
Bitewings - two radiographic images |
475 |
412 |
$7K |
| D1999 |
|
459 |
377 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
317 |
254 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
243 |
209 |
$3K |
| D1120 |
Prophylaxis - child |
139 |
108 |
$2K |
| D2140 |
|
61 |
28 |
$1K |
| D1351 |
Sealant - per tooth |
75 |
12 |
$1K |