UNIVERSITY OF PUERTO RICO MSC
NPI: 1225181266
· SAN JUAN, PR 00935
· Pediatric Dentist
· NPI assigned 01/22/2007
Provider Details
| Authorized Official | AYMAT, NOEL (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 01/22/2007 |
Related Entities
Other providers sharing the same authorized official: AYMAT, NOEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
507 |
$7K |
| 2019 |
708 |
$12K |
| 2020 |
108 |
$1K |
| 2021 |
165 |
$2K |
| 2022 |
204 |
$3K |
| 2023 |
284 |
$4K |
| 2024 |
606 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
1,096 |
825 |
$15K |
| D7140 |
Extraction, erupted tooth or exposed root |
408 |
97 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
518 |
451 |
$7K |
| D1120 |
Prophylaxis - child |
239 |
214 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
240 |
210 |
$2K |
| D1110 |
Prophylaxis - adult |
26 |
24 |
$541.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
13 |
$262.20 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
14 |
$152.10 |
| D0230 |
Intraoral - periapical each additional radiographic image |
21 |
13 |
$70.40 |