HERNANDEZ, ELISEO
NPI: 1770530230
· MANATI, PR 00674
· General Practice Dentistry
· NPI assigned 05/30/2006
$242K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
469 |
$8K |
| 2019 |
608 |
$11K |
| 2020 |
1,371 |
$31K |
| 2021 |
3,231 |
$61K |
| 2022 |
3,168 |
$61K |
| 2023 |
1,054 |
$23K |
| 2024 |
2,093 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,474 |
2,177 |
$73K |
| D1999 |
|
2,945 |
2,655 |
$42K |
| D0330 |
Panoramic radiographic image |
1,114 |
995 |
$35K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,246 |
1,145 |
$28K |
| D0272 |
Bitewings - two radiographic images |
1,756 |
1,572 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
1,499 |
1,307 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
600 |
579 |
$9K |
| D1120 |
Prophylaxis - child |
342 |
340 |
$7K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
18 |
14 |
$827.76 |