TIRADO, LUIS
NPI: 1790749489
· DORADO, PR 00646
· Dentist
· NPI assigned 04/12/2006
$296.51
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$282.00 |
| 2021 |
43 |
$14.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$282.00 |
| D1999 |
|
43 |
26 |
$14.51 |