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ADVANCE DENTAL CLINIC PROFESSIONAL CORPORATION
ADVANCE DENTAL CLINIC PROFESSIONAL CORPORATION
NPI: 1356517437
· HUMACAO, PR 00791
· Dental Clinic/Center
· NPI assigned 05/07/2008
$207K
Total Medicaid Paid
Provider Details
| Authorized Official | ROSA, ERNESTO (PRESIDENT) |
| NPI Enumeration Date | 05/07/2008 |
Related Entities
Other providers sharing the same authorized official: ROSA, ERNESTO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,486 |
$71K |
| 2019 |
557 |
$11K |
| 2020 |
842 |
$23K |
| 2021 |
399 |
$8K |
| 2022 |
1,076 |
$22K |
| 2023 |
1,845 |
$38K |
| 2024 |
1,539 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,202 |
1,824 |
$62K |
| D1999 |
|
1,779 |
1,385 |
$29K |
| D0330 |
Panoramic radiographic image |
929 |
739 |
$29K |
| D0272 |
Bitewings - two radiographic images |
1,661 |
1,381 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,255 |
1,054 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
1,110 |
930 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
647 |
602 |
$9K |
| D1351 |
Sealant - per tooth |
503 |
64 |
$7K |
| D1120 |
Prophylaxis - child |
341 |
339 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
91 |
90 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
187 |
184 |
$960.38 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
24 |
12 |
$652.08 |
| D7140 |
Extraction, erupted tooth or exposed root |
15 |
12 |
$352.65 |