PRATS, MAGDA
NPI: 1427053016
· SAN JUAN, PR 00918
· Prosthodontist
· NPI assigned 06/20/2005
$945.23
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
59 |
$945.23 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
19 |
19 |
$442.20 |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$191.12 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$181.32 |
| D1999 |
|
13 |
13 |
$130.59 |