NPI: 1225123490 · ARECIBO, PR 00612 · General Practice Dentistry · NPI assigned 10/04/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 347 | $6K |
| 2019 | 268 | $5K |
| 2021 | 612 | $11K |
| 2022 | 962 | $16K |
| 2023 | 459 | $9K |
| 2024 | 833 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 974 | 772 | $28K |
| D1999 | 1,127 | 842 | $16K | |
| D0120 | Periodic oral evaluation - established patient | 550 | 402 | $8K |
| D0272 | Bitewings - two radiographic images | 452 | 391 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 204 | 186 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 103 | 88 | $768.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 59 | 40 | $447.03 |
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $162.00 |