CENTRO DENTAL PEDIATRICO
NPI: 1881781516
· FAJARDO, PR 00738
· Pediatric Dentist
· NPI assigned 10/06/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
25 |
$383.24 |
| 2022 |
15 |
$291.08 |
| 2023 |
250 |
$3K |
| 2024 |
560 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
514 |
318 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
181 |
113 |
$2K |
| D1120 |
Prophylaxis - child |
63 |
40 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
25 |
$921.17 |
| D0120 |
Periodic oral evaluation - established patient |
28 |
14 |
$431.76 |
| D0272 |
Bitewings - two radiographic images |
26 |
13 |
$390.26 |