NPI: 1326096959 · CAYEY, PR 00736 · Dentist · NPI assigned 05/05/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 53 | $1K |
| 2019 | 155 | $2K |
| 2020 | 216 | $3K |
| 2021 | 656 | $9K |
| 2022 | 225 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 308 | 298 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 419 | 229 | $3K |
| D0272 | Bitewings - two radiographic images | 102 | 97 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 63 | 61 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 106 | 97 | $801.72 |
| D7140 | Extraction, erupted tooth or exposed root | 15 | 13 | $675.00 |
| D0120 | Periodic oral evaluation - established patient | 51 | 48 | $629.92 |
| D1999 | 241 | 220 | $0.00 |