WEST COAST SMILES PSC
NPI: 1194059261
· AGUADILLA, PR 00603
· Dentist
· NPI assigned 09/23/2009
Provider Details
| Authorized Official | BLANCO, MARIEN (DENTIST/PRESIDENT) |
| NPI Enumeration Date | 09/23/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
832 |
$12K |
| 2021 |
108 |
$2K |
| 2022 |
59 |
$949.52 |
| 2023 |
74 |
$1K |
| 2024 |
115 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
301 |
266 |
$6K |
| D1999 |
|
232 |
186 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
251 |
210 |
$2K |
| D0272 |
Bitewings - two radiographic images |
183 |
169 |
$2K |
| D0330 |
Panoramic radiographic image |
83 |
73 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
72 |
63 |
$769.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
51 |
47 |
$577.80 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$243.00 |