NPI: 1912049818 · YABUCOA, PR 00767 · Dentist · NPI assigned 02/14/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 701 | $11K |
| 2019 | 229 | $4K |
| 2020 | 94 | $2K |
| 2021 | 102 | $1K |
| 2022 | 95 | $1K |
| 2024 | 17 | $246.67 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 336 | 312 | $8K |
| D1999 | 282 | 251 | $4K | |
| D0272 | Bitewings - two radiographic images | 243 | 221 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 142 | 114 | $2K |
| D0120 | Periodic oral evaluation - established patient | 215 | 212 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 20 | 20 | $278.80 |