OFICINA DENTAL DR PACHECO LLC
NPI: 1639894058
· BAYAMAON, PR 00959
· Dental Clinic/Center
· NPI assigned 10/07/2022
1,425
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,636 |
$43K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
462 |
260 |
$15K |
| D1999 |
|
751 |
403 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
358 |
204 |
$6K |
| D0272 |
Bitewings - two radiographic images |
286 |
163 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
416 |
191 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
311 |
177 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
13 |
$585.84 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
14 |
$415.24 |