PEMBROKE PINES PEDIATRIC DENTISTRY
NPI: 1942424700
· PEMBROKE PINES, FL 33026
· Pediatric Dentist
· NPI assigned 04/12/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: GARRASTAZU, JUAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
357 |
$6K |
| 2020 |
738 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0272 |
Bitewings - two radiographic images |
152 |
151 |
$7K |
| D1330 |
|
203 |
203 |
$3K |
| D0330 |
Panoramic radiographic image |
28 |
28 |
$3K |
| D1351 |
Sealant - per tooth |
164 |
37 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
165 |
165 |
$1K |
| D1120 |
Prophylaxis - child |
137 |
137 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
183 |
183 |
$587.26 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$356.00 |
| D1110 |
Prophylaxis - adult |
49 |
49 |
$159.05 |