HSM DENTAL SERVICES,CSP
NPI: 1710222906
· GUAYAMA, PR 00785
· General Practice Dentistry
· NPI assigned 11/29/2012
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
162 |
$3K |
| 2019 |
1,246 |
$24K |
| 2020 |
240 |
$5K |
| 2021 |
1,499 |
$27K |
| 2022 |
439 |
$9K |
| 2023 |
58 |
$1K |
| 2024 |
291 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
980 |
816 |
$26K |
| D0330 |
Panoramic radiographic image |
443 |
374 |
$13K |
| D1999 |
|
723 |
664 |
$10K |
| D0272 |
Bitewings - two radiographic images |
659 |
547 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
386 |
302 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
395 |
353 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
250 |
192 |
$4K |
| D1120 |
Prophylaxis - child |
57 |
41 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
42 |
41 |
$778.66 |