ROMAN, JORGE
NPI: 1922026459
· QUEBRADILLAS, PR 00678
· General Practice Dentistry
· NPI assigned 07/17/2006
$788.15
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
48 |
$788.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$382.80 |
| D1999 |
|
24 |
20 |
$232.16 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$173.19 |