NPI: 1245890300 · SAN JUAN, TX 78589 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,159 | $10K |
| 2021 | 2,282 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 156 | 73 | $12K | |
| D0120 | 207 | 179 | $4K | |
| D1120 | 148 | 114 | $3K | |
| D0274 | 157 | 128 | $3K | |
| D1208 | 301 | 247 | $3K | |
| D1110 | 92 | 72 | $3K | |
| D0150 | 125 | 85 | $2K | |
| D0330 | 120 | 79 | $2K | |
| D0230 | 372 | 160 | $2K | |
| D0220 | 223 | 167 | $2K | |
| D0272 | 91 | 65 | $1K | |
| D0145 | 25 | 14 | $994.49 | |
| D1351 | 64 | 12 | $875.44 | |
| D1330 | 437 | 320 | $594.08 | |
| D0350 | 90 | 14 | $150.28 | |
| D1999 | 355 | 235 | $0.00 | |
| D0603 | 370 | 299 | $0.00 | |
| D9215 | 108 | 83 | $0.00 |