DE JESUS RIVERA, ZULLY
NPI: 1366586638
· MAYAGUEZ, PR 00680
· General Practice Dentistry
· NPI assigned 02/19/2007
Deactivated NPI
· This NPI was deactivated on 10/08/2021. Reactivated 10/26/2021.
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,085 |
$51K |
| 2019 |
3,395 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,082 |
1,012 |
$24K |
| D0120 |
Periodic oral evaluation - established patient |
985 |
913 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,799 |
609 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
737 |
685 |
$10K |
| D0272 |
Bitewings - two radiographic images |
699 |
638 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
602 |
563 |
$9K |
| D1120 |
Prophylaxis - child |
521 |
481 |
$9K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
291 |
181 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
722 |
655 |
$4K |
| D2160 |
|
15 |
12 |
$762.30 |
| D0140 |
Limited oral evaluation - problem focused |
27 |
26 |
$393.84 |