CLINICA DENTAL DR. EDWIN ROSA, CSP
NPI: 1477941946
· VEGA ALTA, PR 00692
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 01/06/2015
$654K
Total Medicaid Paid
Provider Details
| Authorized Official | ROSA, EDWIN (OWNER) |
| NPI Enumeration Date | 01/06/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,552 |
$65K |
| 2019 |
2,329 |
$142K |
| 2020 |
1,472 |
$81K |
| 2021 |
1,942 |
$102K |
| 2022 |
1,448 |
$82K |
| 2023 |
1,042 |
$51K |
| 2024 |
2,340 |
$132K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,677 |
1,448 |
$219K |
| D0160 |
|
3,677 |
3,066 |
$127K |
| D7230 |
|
794 |
322 |
$96K |
| D9222 |
|
385 |
359 |
$67K |
| D1999 |
|
2,874 |
2,368 |
$44K |
| D7250 |
|
524 |
253 |
$38K |
| D0330 |
Panoramic radiographic image |
805 |
690 |
$25K |
| D7240 |
Removal of impacted tooth - completely bony |
155 |
53 |
$19K |
| D7220 |
|
136 |
89 |
$17K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
98 |
40 |
$2K |