RAFAEL J JIMENEZ BARRERAS DENTISTA CSP
NPI: 1841390085
· LAS PIEDRAS, PR 00771
· Dentist
· NPI assigned 09/25/2006
Provider Details
Related Entities
Other providers sharing the same authorized official: JIMENEZ, RAFAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,391 |
$22K |
| 2019 |
908 |
$17K |
| 2020 |
126 |
$3K |
| 2021 |
233 |
$3K |
| 2022 |
480 |
$8K |
| 2023 |
1,002 |
$19K |
| 2024 |
858 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,356 |
1,064 |
$36K |
| D1999 |
|
1,401 |
954 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
767 |
612 |
$10K |
| D0272 |
Bitewings - two radiographic images |
539 |
441 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
347 |
274 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
72 |
71 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
152 |
105 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
252 |
232 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
74 |
66 |
$997.42 |
| D1120 |
Prophylaxis - child |
38 |
18 |
$659.09 |