NPI: 1245378900 · LEVITTOWN, PR 00949 · Pediatric Dentist · NPI assigned 02/02/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 309 | $5K |
| 2022 | 1,871 | $32K |
| 2023 | 1,942 | $28K |
| 2024 | 2,130 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 1,867 | 1,527 | $26K | |
| D0120 | Periodic oral evaluation - established patient | 1,237 | 1,055 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 1,258 | 1,073 | $18K |
| D1120 | Prophylaxis - child | 765 | 655 | $15K |
| D1110 | Prophylaxis - adult | 374 | 314 | $11K |
| D0272 | Bitewings - two radiographic images | 614 | 526 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 96 | 54 | $5K |
| D0330 | Panoramic radiographic image | 41 | 41 | $1K |