NPI: 1629115399 · AIBONITO, PR 00705 · General Practice Dentistry · NPI assigned 01/31/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 449 | $8K |
| 2019 | 174 | $4K |
| 2020 | 192 | $4K |
| 2021 | 535 | $8K |
| 2022 | 194 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 671 | 577 | $17K |
| D1999 | 568 | 502 | $6K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 216 | 190 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 24 | 14 | $2K |
| D1120 | Prophylaxis - child | 25 | 25 | $348.30 |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 13 | $162.00 |
| D0220 | Intraoral - periapical first radiographic image | 27 | 25 | $102.30 |