COLON LOPEZ, MAYRA
NPI: 1245856848
· CAGUAS, PR 00725
· General Practice Dentistry
· NPI assigned 06/19/2020
$123K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,840 |
$39K |
| 2024 |
3,929 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,451 |
1,356 |
$48K |
| D1999 |
|
1,403 |
1,322 |
$19K |
| D0330 |
Panoramic radiographic image |
481 |
440 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
889 |
838 |
$14K |
| D0272 |
Bitewings - two radiographic images |
905 |
846 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
625 |
580 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$101.70 |