CLINICA DENTAL AGUIRRE DEL SUR
NPI: 1750548954
· AGUIRRE, PR 00704
· Dental Clinic/Center
· NPI assigned 05/16/2008
Provider Details
| Authorized Official | CUBERO, MANUEL (DENTIST -OWNER) |
| NPI Enumeration Date | 05/16/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
380 |
$6K |
| 2019 |
88 |
$2K |
| 2020 |
43 |
$1K |
| 2021 |
88 |
$2K |
| 2022 |
210 |
$5K |
| 2023 |
95 |
$2K |
| 2024 |
116 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
303 |
268 |
$9K |
| D0272 |
Bitewings - two radiographic images |
229 |
192 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
239 |
210 |
$3K |
| D1999 |
|
77 |
74 |
$1K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
37 |
28 |
$929.90 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
60 |
60 |
$880.33 |
| D2140 |
|
25 |
23 |
$539.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
36 |
36 |
$486.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$64.80 |