NPI: 1619031515 · RIO PIEDRAS, PR 00925 · Dentist · NPI assigned 12/22/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $647.00 |
| 2019 | 489 | $6K |
| 2020 | 488 | $8K |
| 2021 | 690 | $10K |
| 2022 | 460 | $7K |
| 2023 | 86 | $1K |
| 2024 | 198 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 946 | 809 | $15K | |
| D1110 | Prophylaxis - adult | 350 | 289 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 466 | 277 | $3K |
| D0272 | Bitewings - two radiographic images | 197 | 156 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 142 | 101 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 245 | 203 | $2K |
| D0120 | Periodic oral evaluation - established patient | 78 | 61 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 15 | 15 | $220.79 |