PELICAN DENTAL CARE
NPI: 1598058174
· VERO BEACH, FL 32960
· Dentist
· NPI assigned 05/16/2011
Provider Details
| Authorized Official | PEREZ, LILIANA (DENTIST) |
| NPI Enumeration Date | 05/16/2011 |
Related Entities
Other providers sharing the same authorized official: PEREZ, LILIANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
79 |
$2K |
| 2020 |
2,122 |
$40K |
| 2021 |
693 |
$11K |
| 2022 |
1,412 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
862 |
851 |
$44K |
| D1110 |
Prophylaxis - adult |
514 |
508 |
$17K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
139 |
68 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
31 |
31 |
$3K |
| D0330 |
Panoramic radiographic image |
27 |
26 |
$2K |
| D0274 |
Bitewings - four radiographic images |
265 |
262 |
$1K |
| D0240 |
|
59 |
47 |
$683.89 |
| D0272 |
Bitewings - two radiographic images |
171 |
170 |
$565.08 |
| D1120 |
Prophylaxis - child |
398 |
393 |
$137.64 |
| D1208 |
Topical application of fluoride, excluding varnish |
847 |
836 |
$43.10 |
| D1330 |
|
922 |
911 |
$3.00 |
| D1206 |
Topical application of fluoride varnish |
71 |
71 |
$0.00 |