VALLE TOLIMA DENTAL CARE LLC
NPI: 1285182592
· CAGUAS, PR 00725
· Dental Clinic/Center
· NPI assigned 09/15/2016
Provider Details
| Authorized Official | VELEZ, JOSE (OWNER) |
| NPI Enumeration Date | 09/15/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,110 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
294 |
292 |
$7K |
| D0272 |
Bitewings - two radiographic images |
300 |
298 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
183 |
182 |
$3K |
| D0330 |
Panoramic radiographic image |
78 |
77 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
147 |
146 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
67 |
67 |
$933.98 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$150.88 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
28 |
$144.56 |