NPI: 1225177645 · CAROLINA, PR 00987 · General Practice Dentistry · NPI assigned 02/05/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 106 | $2K |
| 2019 | 538 | $11K |
| 2020 | 93 | $2K |
| 2021 | 225 | $4K |
| 2022 | 500 | $8K |
| 2023 | 45 | $652.95 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 322 | 276 | $8K |
| D1999 | 512 | 454 | $7K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 213 | 173 | $4K |
| D0330 | Panoramic radiographic image | 113 | 83 | $3K |
| D0272 | Bitewings - two radiographic images | 201 | 162 | $3K |
| D0120 | Periodic oral evaluation - established patient | 87 | 83 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 27 | 18 | $373.57 |
| D7140 | Extraction, erupted tooth or exposed root | 15 | 14 | $347.61 |
| D1120 | Prophylaxis - child | 17 | 13 | $287.78 |