L .R. DENTAL C.S.P.
NPI: 1710303755
· SAN JUAN, PR 00921
· Dental Clinic/Center
· NPI assigned 03/14/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
399 |
$6K |
| 2019 |
735 |
$14K |
| 2020 |
266 |
$6K |
| 2021 |
661 |
$11K |
| 2022 |
796 |
$15K |
| 2023 |
55 |
$798.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
893 |
808 |
$23K |
| D1999 |
|
771 |
717 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
580 |
529 |
$7K |
| D0272 |
Bitewings - two radiographic images |
426 |
370 |
$6K |
| D0330 |
Panoramic radiographic image |
160 |
127 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
82 |
82 |
$2K |