NPI: 1245858059 · AVENTURA, FL 33180 · Dental Clinic/Center · NPI assigned 07/08/2020
| Authorized Official | OLIVA PEREZ, ANNY (PRESIDENT) |
| NPI Enumeration Date | 07/08/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 87 | $1K |
| 2022 | 562 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 68 | 68 | $4K |
| D1110 | Prophylaxis - adult | 43 | 43 | $2K |
| D0120 | Periodic oral evaluation - established patient | 57 | 57 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 95 | 95 | $869.00 |
| D1330 | 150 | 144 | $26.00 | |
| D0190 | 109 | 106 | $0.00 | |
| D0191 | 95 | 94 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 32 | 25 | $0.00 |