NPI: 1710920889 · CAYEY, PR 00737 · Dentist · NPI assigned 06/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 93 | $2K |
| 2019 | 301 | $6K |
| 2020 | 139 | $3K |
| 2021 | 36 | $522.36 |
| 2022 | 134 | $2K |
| 2023 | 259 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 291 | 288 | $7K |
| D1999 | 285 | 251 | $4K | |
| D0272 | Bitewings - two radiographic images | 145 | 142 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 89 | 88 | $2K |
| D0330 | Panoramic radiographic image | 54 | 54 | $1K |
| D0120 | Periodic oral evaluation - established patient | 42 | 40 | $584.56 |
| D0140 | Limited oral evaluation - problem focused | 20 | 20 | $325.89 |
| D9995 | 20 | 20 | $280.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 16 | 16 | $112.00 |