MALDONADO PEREZ, ALEX
NPI: 1518586247
· SAN JUAN, PR 00936
· Student in an Organized Health Care Education/Training Program
· NPI assigned 04/13/2020
$252K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
30 |
$427.31 |
| 2022 |
1,555 |
$32K |
| 2023 |
3,162 |
$64K |
| 2024 |
6,821 |
$156K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,093 |
1,855 |
$70K |
| D1999 |
|
3,406 |
3,049 |
$48K |
| D0330 |
Panoramic radiographic image |
888 |
789 |
$30K |
| D0272 |
Bitewings - two radiographic images |
1,559 |
1,376 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
959 |
867 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
1,385 |
1,206 |
$22K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
320 |
219 |
$15K |
| D2140 |
|
198 |
132 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
516 |
453 |
$8K |
| D1120 |
Prophylaxis - child |
133 |
112 |
$3K |
| D1351 |
Sealant - per tooth |
111 |
14 |
$2K |