GRUPO DENTAL DR.OLIVERAS GUERRAS
NPI: 1447520424
· SAN JUAN, PR 00924
· Dental Clinic/Center
· NPI assigned 01/06/2012
$198K
Total Medicaid Paid
Provider Details
| Authorized Official | VEGA DE JESUS, MARITZA (EXECUTIVE SUB DIRECTOR) |
| Parent Organization | CDT DR. OLIVERAS GUERRAS |
| NPI Enumeration Date | 01/06/2012 |
Related Entities
Other providers sharing the same authorized official: VEGA DE JESUS, MARITZA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,816 |
$24K |
| 2019 |
3,115 |
$49K |
| 2020 |
398 |
$8K |
| 2021 |
1,197 |
$21K |
| 2022 |
2,060 |
$40K |
| 2023 |
427 |
$9K |
| 2024 |
2,254 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,894 |
1,579 |
$52K |
| D1999 |
|
2,114 |
1,938 |
$31K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,330 |
1,109 |
$26K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,887 |
1,572 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
1,921 |
1,586 |
$25K |
| D1120 |
Prophylaxis - child |
1,367 |
1,149 |
$25K |
| D2140 |
|
249 |
132 |
$7K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
111 |
31 |
$2K |
| D0272 |
Bitewings - two radiographic images |
92 |
49 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
187 |
147 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
115 |
36 |
$414.00 |