CONCEPTOS DENTALES DEL SUR
NPI: 1740586916
· JUANA DIAZ, PR 00795
· 261QD0000X
$490K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,525 |
$27K |
| 2019 |
5,668 |
$106K |
| 2020 |
3,079 |
$64K |
| 2021 |
3,544 |
$69K |
| 2022 |
4,093 |
$79K |
| 2023 |
3,269 |
$64K |
| 2024 |
4,131 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
4,961 |
4,185 |
$138K |
| D1999 |
|
5,075 |
4,205 |
$78K |
| D0330 |
|
2,265 |
1,906 |
$68K |
| D0272 |
|
3,628 |
3,039 |
$52K |
| D0120 |
|
3,463 |
2,931 |
$47K |
| D0150 |
|
1,975 |
1,695 |
$40K |
| D1208 |
|
1,223 |
1,039 |
$17K |
| D2150 |
|
438 |
273 |
$16K |
| D7140 |
|
282 |
185 |
$11K |
| D0220 |
|
796 |
707 |
$6K |
| D0230 |
|
792 |
700 |
$6K |
| D1120 |
|
311 |
239 |
$5K |
| D2160 |
|
80 |
53 |
$3K |
| D2140 |
|
20 |
13 |
$634.42 |