NPI: 1679556021 · VEGA BAJA, PR 00693 · General Practice Dentistry · NPI assigned 11/21/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 262 | $4K |
| 2019 | 52 | $1K |
| 2020 | 72 | $1K |
| 2021 | 120 | $2K |
| 2022 | 174 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 235 | 220 | $6K |
| D0330 | Panoramic radiographic image | 64 | 64 | $2K |
| D1999 | 171 | 143 | $2K | |
| D0120 | Periodic oral evaluation - established patient | 137 | 122 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 55 | 55 | $1K |
| D0272 | Bitewings - two radiographic images | 18 | 18 | $275.38 |