DML DENTAL SERVICES LLC
NPI: 1902304306
· SAN JUAN, PR 00920
· Dental Clinic/Center
· NPI assigned 01/31/2018
Provider Details
| Authorized Official | LOYOLA, DELIAN (DENTIST) |
| NPI Enumeration Date | 01/31/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
127 |
$3K |
| 2021 |
503 |
$9K |
| 2022 |
956 |
$16K |
| 2023 |
723 |
$12K |
| 2024 |
1,280 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
1,924 |
1,450 |
$28K |
| D1110 |
Prophylaxis - adult |
725 |
598 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
541 |
416 |
$8K |
| D0272 |
Bitewings - two radiographic images |
212 |
181 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
26 |
$634.66 |
| D1208 |
Topical application of fluoride, excluding varnish |
43 |
43 |
$622.86 |
| D0220 |
Intraoral - periapical first radiographic image |
60 |
38 |
$507.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
57 |
37 |
$447.45 |