DE PENA DIAZ, TULIA
NPI: 1619976487
· GUAYAMA, PR 00785
· General Practice Dentistry
· NPI assigned 07/14/2005
$903.80
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
67 |
$903.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
31 |
26 |
$619.45 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$211.80 |
| D1999 |
|
20 |
14 |
$72.55 |