JYF DENTAL CLINIC INC
NPI: 1326876608
· CATANO, PR 00725
· Dental Clinic/Center
· NPI assigned 07/26/2024
Provider Details
Related Entities
Other providers sharing the same authorized official: FAMILIA GLASS, JUAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
316 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
68 |
68 |
$3K |
| D1999 |
|
97 |
90 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
52 |
51 |
$884.00 |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$442.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
29 |
28 |
$430.07 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$400.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$299.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$129.00 |