DEL VALLE, ISABEL
NPI: 1811970734
· PONCE, PR 00717
· Pediatric Dentist
· NPI assigned 11/23/2005
$147K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
814 |
$12K |
| 2019 |
1,441 |
$20K |
| 2020 |
634 |
$11K |
| 2021 |
889 |
$13K |
| 2022 |
1,770 |
$28K |
| 2023 |
1,750 |
$28K |
| 2024 |
2,084 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,316 |
2,005 |
$43K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,713 |
2,355 |
$37K |
| D1999 |
|
2,322 |
2,072 |
$34K |
| D0120 |
Periodic oral evaluation - established patient |
1,063 |
918 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
693 |
576 |
$13K |
| D0272 |
Bitewings - two radiographic images |
139 |
107 |
$2K |
| D1351 |
Sealant - per tooth |
96 |
27 |
$1K |
| D1110 |
Prophylaxis - adult |
28 |
25 |
$913.45 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$94.60 |