BARCELONETA PRIMARY HEALTH SERVICES INC. (DENTAL)
NPI: 1477610442
· BARCELONETA, PR 00617
· Dental Clinic/Center
· NPI assigned 01/02/2007
$160K
Total Medicaid Paid
Provider Details
| Authorized Official | NAZARIO, LEIDA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 01/02/2007 |
Related Entities
Other providers sharing the same authorized official: NAZARIO, LEIDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
134 |
$3K |
| 2021 |
1,562 |
$30K |
| 2022 |
1,254 |
$23K |
| 2023 |
1,890 |
$34K |
| 2024 |
2,984 |
$70K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
1,770 |
1,290 |
$54K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,067 |
839 |
$25K |
| D0272 |
Bitewings - two radiographic images |
1,349 |
984 |
$19K |
| D1999 |
|
1,370 |
1,191 |
$17K |
| D0330 |
Panoramic radiographic image |
522 |
426 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
933 |
660 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
574 |
440 |
$9K |
| D1120 |
Prophylaxis - child |
212 |
154 |
$5K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
15 |
13 |
$724.20 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$102.88 |