DOMINGUEZ CARRAZQUILLO, LUIS
NPI: 1659379303
· GUAYAMA, PR 00784
· General Practice Dentistry
· NPI assigned 07/07/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,398 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
294 |
234 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
256 |
212 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
259 |
207 |
$3K |
| D2160 |
|
82 |
42 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
164 |
132 |
$2K |
| D0272 |
Bitewings - two radiographic images |
123 |
100 |
$2K |
| D2161 |
|
44 |
25 |
$1K |
| D1120 |
Prophylaxis - child |
54 |
54 |
$874.80 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
19 |
13 |
$478.80 |
| D2140 |
|
20 |
13 |
$410.40 |
| D0220 |
Intraoral - periapical first radiographic image |
83 |
72 |
$367.20 |