CENTRO REHABILITACION ORAL E IMPLANTES
NPI: 1417968769
· SAN JUAN, PR 00926
· Dental Clinic/Center
· NPI assigned 08/11/2006
Provider Details
| Authorized Official | FERRAN, RAMON (OWNER) |
| NPI Enumeration Date | 08/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
479 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
155 |
151 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
105 |
103 |
$1K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
41 |
27 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
59 |
59 |
$796.50 |
| D2140 |
|
36 |
24 |
$776.60 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
38 |
$549.00 |
| D0272 |
Bitewings - two radiographic images |
31 |
30 |
$406.35 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$226.80 |