SILVA-BONAR, JOSE
NPI: 1215944707
· TOA ALTA, PR 00953
· General Practice Dentistry
· NPI assigned 08/01/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
191 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
60 |
57 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
55 |
52 |
$547.20 |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$202.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$174.60 |
| D0220 |
Intraoral - periapical first radiographic image |
19 |
19 |
$102.60 |
| D0230 |
Intraoral - periapical each additional radiographic image |
28 |
20 |
$100.80 |