Samantha Rae Didomenico

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NPI Number Detailed Information

Provider Information:

Name:	Samantha Rae Didomenico
Gender:	F
Provider License Number If Given:	202930

NPI Information:

NPI:	1891241527
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/1/2016
Last Update Date:	6/5/2018

Provider Business Mailing Address:

Address:	1119 W 11TH ST La Junta, CO 81050
Phone Number:	9726724468
Fax Number:

Provider Business Practice Location Address:

Address:	245 VINE AVE Las Animas, CO 81054
Phone Number:	7194562653
Fax Number:

Provider Taxonomy:

Primary:	1223G0001X
Secondary (if any):
State:	CO

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About Samantha Rae Didomenico

Samantha Rae Didomenico ( SAMANTHA RAE DIDOMENICO ) is A Dentist Physician in Las Animas, CO. The NPI Number for Samantha Rae Didomenico is 1891241527.

The current location address for Samantha Rae Didomenico is 245 VINE AVE Las Animas, CO 81054 and the contact number is 9726724468 and fax number is . The mailing address for Samantha Rae Didomenico is 1119 W 11TH ST La Junta, CO 81050- 7194562653 (mailing address contact number - 9726724468).

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Samantha Rae Didomenico ?

Answer: The NPI Number for Samantha Rae Didomenico is 1891241527

Where is Samantha Rae Didomenico located?

Answer: Samantha Rae Didomenico is located at 245 VINE AVE Las Animas, CO 81054.

What is the specialty for Samantha Rae Didomenico ?

Answer: The Specialty of Samantha Rae Didomenico is A Dentist Physician.

Are there any online reviews for Samantha Rae Didomenico ?

Answer: Not yet!

Are there any other health care providers in Las Animas, CO?

Answer: Yes, there are given below...

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Dentist
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	21
Number of Standardized 30-Day Fills	21
Aggregate Cost Paid for All Claims	78.73
Number of Day's Supply for All Claims	104
Number of Medicare Beneficiaries	15
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	21
Aggregate Cost Paid for Generic Drugs	78.73
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst	#
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst	*
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst	*
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst	#
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	71.666666667
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White	14
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	0
Only Entitlement
Average Hierarchical Condition Category	0.8718666667

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