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VILLA TOLEDO CENTRO DE REHABILITACION E IMPLANTOLOGIA ORAL
VILLA TOLEDO CENTRO DE REHABILITACION E IMPLANTOLOGIA ORAL
NPI: 1346834355
· ARECIBO, PR 00612
· Dental Clinic/Center
· NPI assigned 02/22/2021
Provider Details
| Authorized Official | SUAREZ, RAFAEL (PRESIDENT) |
| NPI Enumeration Date | 02/22/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
3,689 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
667 |
514 |
$25K |
| D1999 |
|
1,137 |
893 |
$16K |
| D0330 |
Panoramic radiographic image |
277 |
225 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
577 |
445 |
$10K |
| D0272 |
Bitewings - two radiographic images |
493 |
385 |
$8K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
81 |
50 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
144 |
120 |
$4K |
| D2140 |
|
83 |
50 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
177 |
139 |
$3K |
| D2160 |
|
18 |
12 |
$1K |
| D1120 |
Prophylaxis - child |
18 |
18 |
$414.00 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
12 |
$136.78 |