AMUNDARAY DIAZ, EMMANUEL
NPI: 1659728061
· SAN JUAN, PR 00917
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/16/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
67 |
$2K |
| 2024 |
257 |
$9K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
151 |
151 |
$4K |
| D1110 |
Prophylaxis - adult |
37 |
37 |
$2K |
| D0330 |
Panoramic radiographic image |
46 |
46 |
$2K |
| D0274 |
Bitewings - four radiographic images |
52 |
52 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$387.15 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$342.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$222.00 |