ROLDAN, YAMIRA
NPI: 1538162961
· AGUADILLA, PR 00603
· General Practice Dentistry
· NPI assigned 05/31/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
289 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
107 |
104 |
$2K |
| D0272 |
Bitewings - two radiographic images |
66 |
66 |
$877.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
43 |
$619.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
34 |
34 |
$459.00 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$333.45 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$261.00 |