NPI: 1588951859 · SAN JUAN, PR 00909 · Dentist · NPI assigned 07/06/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 159 | $6K |
| 2021 | 605 | $21K |
| 2022 | 689 | $23K |
| 2023 | 541 | $10K |
| 2024 | 440 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 213 | 128 | $20K |
| D0160 | 491 | 456 | $17K | |
| D0140 | Limited oral evaluation - problem focused | 568 | 516 | $9K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 80 | 79 | $8K |
| D9222 | 80 | 79 | $7K | |
| D1999 | 469 | 418 | $7K | |
| D9995 | 533 | 492 | $6K |