JRC MAXILLOFACIAL SERVICES,PSC
NPI: 1689980682
· FAJARDO, PR 00738
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/27/2010
$1.48M
Total Medicaid Paid
Provider Details
| Authorized Official | RIVERA, JUAN (PRESIDENTE) |
| NPI Enumeration Date | 08/27/2010 |
Related Entities
Other providers sharing the same authorized official: RIVERA, JUAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,733 |
$164K |
| 2019 |
2,099 |
$139K |
| 2020 |
2,095 |
$112K |
| 2021 |
3,341 |
$167K |
| 2022 |
4,201 |
$202K |
| 2023 |
4,252 |
$311K |
| 2024 |
4,912 |
$385K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
8,917 |
3,956 |
$793K |
| D7240 |
Removal of impacted tooth - completely bony |
2,191 |
606 |
$354K |
| D0160 |
|
6,703 |
5,405 |
$220K |
| D1999 |
|
4,318 |
3,512 |
$57K |
| D0330 |
Panoramic radiographic image |
1,338 |
1,166 |
$41K |
| D7250 |
|
107 |
49 |
$7K |
| D7230 |
|
41 |
17 |
$5K |
| D7220 |
|
18 |
12 |
$2K |