ARIAS BERRIOS GRUPO DENTAL LLC
NPI: 1285203018
· BAYAMON, PR 00961
· General Practice Dentistry
· NPI assigned 06/24/2021
$306K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
553 |
$9K |
| 2023 |
4,372 |
$79K |
| 2024 |
10,935 |
$217K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
3,226 |
2,152 |
$97K |
| D1999 |
|
4,674 |
3,121 |
$67K |
| D0330 |
Panoramic radiographic image |
1,035 |
688 |
$34K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,244 |
855 |
$30K |
| D0120 |
Periodic oral evaluation - established patient |
1,917 |
1,264 |
$30K |
| D0272 |
Bitewings - two radiographic images |
1,946 |
1,327 |
$29K |
| D0230 |
Intraoral - periapical each additional radiographic image |
821 |
403 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
358 |
225 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
606 |
427 |
$5K |
| D1120 |
Prophylaxis - child |
33 |
24 |
$640.00 |