DARIANA M. NUNEZ MEDINA DENTAL PSC
NPI: 1861999419
· COMERIO, PR 00782
· Dental Clinic/Center
· NPI assigned 04/10/2018
$108K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,173 |
$21K |
| 2020 |
1,309 |
$25K |
| 2021 |
2,076 |
$39K |
| 2022 |
1,153 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,000 |
909 |
$29K |
| D1999 |
|
1,655 |
1,484 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
803 |
679 |
$16K |
| D0330 |
Panoramic radiographic image |
522 |
475 |
$16K |
| D0272 |
Bitewings - two radiographic images |
909 |
796 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
433 |
402 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
270 |
218 |
$4K |
| D1120 |
Prophylaxis - child |
88 |
67 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
19 |
12 |
$831.48 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$65.45 |