DENTAL DESIGNERS PSC
NPI: 1619403326
· PONCE, PR 00717
· Dental Clinic/Center
· NPI assigned 05/02/2017
$118K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
713 |
$12K |
| 2019 |
2,797 |
$52K |
| 2020 |
1,096 |
$24K |
| 2021 |
361 |
$6K |
| 2022 |
175 |
$3K |
| 2023 |
292 |
$4K |
| 2024 |
861 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,349 |
989 |
$35K |
| D1999 |
|
1,082 |
848 |
$16K |
| D0330 |
Panoramic radiographic image |
553 |
373 |
$15K |
| D0272 |
Bitewings - two radiographic images |
925 |
659 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
662 |
454 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
801 |
597 |
$10K |
| D2140 |
|
232 |
131 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
372 |
257 |
$5K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
141 |
69 |
$4K |
| D1120 |
Prophylaxis - child |
178 |
105 |
$3K |