SANTIAGO, MARISEL
NPI: 1528191509
· COROZAL, PR 00783
· Dentist
· NPI assigned 03/13/2007
$170K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,498 |
$19K |
| 2019 |
1,810 |
$26K |
| 2020 |
593 |
$12K |
| 2021 |
1,463 |
$24K |
| 2022 |
1,640 |
$26K |
| 2023 |
2,439 |
$33K |
| 2024 |
1,993 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,943 |
1,861 |
$49K |
| D1999 |
|
2,621 |
2,400 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
1,859 |
1,789 |
$24K |
| D0272 |
Bitewings - two radiographic images |
1,490 |
1,428 |
$21K |
| D1208 |
Topical application of fluoride, excluding varnish |
786 |
750 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
1,168 |
1,119 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,014 |
774 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
299 |
290 |
$6K |
| D1120 |
Prophylaxis - child |
256 |
245 |
$4K |