NPI: 1427479674 · MAYAGUEZ, PR 00680 · Endodontist · NPI assigned 12/13/2013
| Authorized Official | ZEPEDA, BORIS (PRESIDENT) |
| NPI Enumeration Date | 12/13/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 14 | $150.00 |
| 2021 | 454 | $2K |
| 2022 | 142 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 257 | 236 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | 91 | 81 | $392.96 |
| D0230 | Intraoral - periapical each additional radiographic image | 85 | 82 | $392.24 |
| D1110 | Prophylaxis - adult | 12 | 12 | $334.20 |
| D3999 | 32 | 28 | $0.00 | |
| D0160 | 42 | 41 | $0.00 | |
| D9610 | 32 | 28 | $0.00 | |
| D0460 | 46 | 42 | $0.00 | |
| D0270 | 13 | 13 | $0.00 |