LOYOLA, JOSE
NPI: 1346385283
· ISABELA, PR 00662
· General Practice Dentistry
· NPI assigned 02/20/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,072 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
352 |
327 |
$8K |
| D0272 |
Bitewings - two radiographic images |
231 |
213 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
312 |
286 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
69 |
58 |
$931.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
63 |
63 |
$907.20 |
| D0220 |
Intraoral - periapical first radiographic image |
45 |
45 |
$237.60 |