SANCHEZ QUINONES, JESSICA
NPI: 1649773680
· TOA ALTA, PR 00954
· General Practice Dentistry
· NPI assigned 03/15/2018
$156K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,030 |
$42K |
| 2023 |
3,735 |
$68K |
| 2024 |
2,528 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,380 |
1,323 |
$37K |
| D1999 |
|
2,277 |
2,154 |
$32K |
| D0330 |
Panoramic radiographic image |
677 |
652 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
858 |
828 |
$20K |
| D0272 |
Bitewings - two radiographic images |
1,137 |
1,090 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
866 |
832 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
599 |
577 |
$8K |
| D1120 |
Prophylaxis - child |
298 |
293 |
$6K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
56 |
37 |
$3K |
| D1351 |
Sealant - per tooth |
98 |
12 |
$2K |
| D2140 |
|
17 |
14 |
$674.39 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
30 |
$239.84 |