NPI: 1194393348 · MANATI, PR 00674 · Dentist · NPI assigned 06/15/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 566 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 220 | 214 | $3K | |
| D1120 | Prophylaxis - child | 131 | 129 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 145 | 143 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 40 | 40 | $960.25 |
| D0120 | Periodic oral evaluation - established patient | 30 | 29 | $424.62 |