NPI: 1528191509 · COROZAL, PR 00783 · Dentist · NPI assigned 03/13/2007
| 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 |
| 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 |