PONS, SILVANA
NPI: 1881671824
· VEGA BAJA, PR 00693
· General Practice Dentistry
· NPI assigned 12/30/2005
$107K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,494 |
$25K |
| 2019 |
1,371 |
$25K |
| 2020 |
860 |
$18K |
| 2021 |
893 |
$14K |
| 2022 |
569 |
$10K |
| 2023 |
327 |
$6K |
| 2024 |
450 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,479 |
1,296 |
$37K |
| D1999 |
|
1,589 |
1,344 |
$23K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
997 |
847 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
796 |
730 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
322 |
280 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
317 |
281 |
$4K |
| D2140 |
|
161 |
97 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
104 |
58 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
65 |
49 |
$2K |
| D1120 |
Prophylaxis - child |
83 |
59 |
$1K |
| D2161 |
|
15 |
14 |
$941.64 |
| D2940 |
|
36 |
26 |
$613.50 |