COSEDEN,INC.
NPI: 1407239122
· BAYAMON, PR 00961
· Dental Clinic/Center
· NPI assigned 06/30/2015
$312.12
Total Medicaid Paid
Provider Details
| Authorized Official | PEDRAZA, JAIME (REGENT OFICIAL) |
| NPI Enumeration Date | 06/30/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
27 |
$312.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
13 |
12 |
$209.12 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
12 |
$103.00 |