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CORPORACION DE SERVICIOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
CORPORACION DE SERVICIOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
NPI: 1265117998
· HATILLO, PR 00659
· General Practice Dentistry
· NPI assigned 06/20/2023
$106K
Total Medicaid Paid
Provider Details
| Authorized Official | SANTIAGO, YAZMIN (COORDINADORA DE CREDENCIALES) |
| NPI Enumeration Date | 06/20/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
736 |
$21K |
| 2024 |
3,414 |
$85K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
830 |
655 |
$31K |
| D0330 |
Panoramic radiographic image |
616 |
472 |
$23K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
876 |
676 |
$22K |
| D1999 |
|
769 |
564 |
$11K |
| D0272 |
Bitewings - two radiographic images |
557 |
457 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
227 |
188 |
$3K |
| D1120 |
Prophylaxis - child |
102 |
93 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
44 |
43 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
103 |
103 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$187.34 |