WESTERN DENTAL P.S.C.
NPI: 1598116311
· AGUADA, PR 00602
· Dental Clinic/Center
· NPI assigned 06/22/2016
Provider Details
| Authorized Official | SANCHEZ, JUAN (PRESIDENT) |
| NPI Enumeration Date | 06/22/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
14 |
$434.70 |
| 2021 |
43 |
$765.31 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
29 |
29 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$181.80 |
| D1999 |
|
14 |
14 |
$14.51 |