CN DENTAL LLC
NPI: 1699414508
· MAYAGUEZ, PR 00680
· General Practice Dentistry
· NPI assigned 05/31/2022
Provider Details
| Authorized Official | RAMIREZ DE ARELLANO PONCE, UBALDINO (PRESIDENT) |
| NPI Enumeration Date | 05/31/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,071 |
$17K |
| 2024 |
4,032 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
827 |
501 |
$25K |
| D1999 |
|
1,400 |
825 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
386 |
254 |
$9K |
| D0272 |
Bitewings - two radiographic images |
539 |
322 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
860 |
394 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
407 |
217 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
621 |
374 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
63 |
38 |
$934.29 |