NPI: 1194840637 · PENUELAS, PR 00624 · General Practice Dentistry · NPI assigned 03/21/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,399 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 247 | 236 | $6K |
| D1120 | Prophylaxis - child | 135 | 130 | $4K |
| D1110 | Prophylaxis - adult | 79 | 73 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 270 | 257 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 180 | 117 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 143 | 136 | $2K |
| D0272 | Bitewings - two radiographic images | 15 | 12 | $280.56 |
| D0603 | 330 | 316 | $0.00 |