TORRES-RIVERA, ORLANDO
NPI: 1558566505
· CANOVANAS, PR 00729
· General Practice Dentistry
· NPI assigned 06/19/2007
$166.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$166.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$110.70 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$55.80 |