BENITEZ, MILDRED
NPI: 1891827275
· CIDRA, PR 00739
· General Practice Dentistry
· NPI assigned 03/12/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
47 |
$188.63 |
| 2022 |
180 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
42 |
42 |
$1K |
| D1999 |
|
130 |
115 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
55 |
55 |
$749.04 |