CAMACHO, LUIS
NPI: 1992808984
· YAUCO, PR 00698
· General Practice Dentistry
· NPI assigned 09/06/2006
$389K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,484 |
$66K |
| 2019 |
3,953 |
$77K |
| 2020 |
1,193 |
$25K |
| 2021 |
256 |
$4K |
| 2022 |
1,532 |
$29K |
| 2023 |
3,948 |
$78K |
| 2024 |
4,979 |
$110K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
4,386 |
3,864 |
$118K |
| D1999 |
|
3,742 |
3,366 |
$57K |
| D0330 |
Panoramic radiographic image |
1,591 |
1,387 |
$46K |
| D0120 |
Periodic oral evaluation - established patient |
3,459 |
3,035 |
$46K |
| D0272 |
Bitewings - two radiographic images |
3,078 |
2,706 |
$45K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
653 |
517 |
$25K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,069 |
958 |
$20K |
| D1208 |
Topical application of fluoride, excluding varnish |
831 |
683 |
$12K |
| D2160 |
|
250 |
204 |
$11K |
| D2335 |
|
173 |
85 |
$7K |
| D2140 |
|
38 |
27 |
$1K |
| D1120 |
Prophylaxis - child |
63 |
61 |
$1K |
| D2161 |
|
12 |
12 |
$504.30 |