DISLA PENA, JOSE
NPI: 1215006648
· SANTURCE, PR 00911
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/07/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
108 |
$2K |
| 2020 |
337 |
$7K |
| 2021 |
321 |
$5K |
| 2022 |
145 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
528 |
487 |
$8K |
| D0330 |
Panoramic radiographic image |
163 |
141 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
130 |
125 |
$3K |
| D1110 |
Prophylaxis - adult |
34 |
34 |
$943.55 |
| D0120 |
Periodic oral evaluation - established patient |
56 |
56 |
$704.04 |