MED CENTRO, INC.
NPI: 1750619987
· PONCE, PR 00716
· Federally Qualified Health Center (FQHC)
· NPI assigned 11/30/2009
Provider Details
Related Entities
Other providers sharing the same authorized official: CINTRON-SALICHS, ALLAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
306 |
$5K |
| 2021 |
209 |
$4K |
| 2022 |
380 |
$6K |
| 2023 |
1,816 |
$36K |
| 2024 |
1,580 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0272 |
Bitewings - two radiographic images |
1,109 |
883 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
720 |
569 |
$17K |
| D0330 |
Panoramic radiographic image |
475 |
340 |
$16K |
| D1110 |
Prophylaxis - adult |
431 |
315 |
$14K |
| D1999 |
|
839 |
640 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
610 |
462 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
26 |
14 |
$543.36 |
| D1208 |
Topical application of fluoride, excluding varnish |
35 |
31 |
$500.30 |
| D0220 |
Intraoral - periapical first radiographic image |
46 |
36 |
$395.60 |