NPI: 1831661941 · HUMACAO, PR 00791 · Dentist · NPI assigned 12/31/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,416 | $75K |
| 2020 | 1,096 | $48K |
| 2021 | 694 | $25K |
| 2022 | 1,112 | $59K |
| 2023 | 80 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1,777 | 993 | $125K |
| D7240 | Removal of impacted tooth - completely bony | 296 | 80 | $46K |
| D1999 | 1,029 | 952 | $17K | |
| D0140 | Limited oral evaluation - problem focused | 973 | 773 | $13K |
| D0330 | Panoramic radiographic image | 290 | 239 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 33 | 32 | $720.56 |