MONTANEZ MORALES, EFRAIN
NPI: 1750707832
· CAYEY, PR 00736
· Dentist
· NPI assigned 03/12/2014
$669K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$2K |
| 2020 |
769 |
$47K |
| 2021 |
2,358 |
$150K |
| 2022 |
3,665 |
$246K |
| 2023 |
2,761 |
$192K |
| 2024 |
475 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,680 |
1,313 |
$233K |
| D7240 |
Removal of impacted tooth - completely bony |
629 |
240 |
$100K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
930 |
744 |
$95K |
| D9222 |
|
889 |
706 |
$77K |
| D0160 |
|
1,932 |
1,737 |
$69K |
| D7230 |
|
264 |
172 |
$36K |
| D1999 |
|
1,965 |
1,676 |
$27K |
| D9219 |
|
372 |
215 |
$14K |
| D7250 |
|
167 |
82 |
$11K |
| D0330 |
Panoramic radiographic image |
182 |
167 |
$6K |
| D7220 |
|
17 |
14 |
$2K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$240.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$192.79 |