FUPS DENTAL, INC.
NPI: 1982952487
· JACKSONVILLE, FL 32205
· Dentist
· NPI assigned 08/15/2012
Provider Details
Related Entities
Other providers sharing the same authorized official: SANTIAGO, CARLOS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$552.00 |
| 2020 |
499 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
72 |
71 |
$32K |
| D5120 |
|
36 |
35 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
151 |
151 |
$6K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
69 |
12 |
$3K |
| D0330 |
Panoramic radiographic image |
139 |
139 |
$934.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$182.95 |
| D1330 |
|
43 |
43 |
$0.00 |