TRINITY SPRING DENTAL PLLC
NPI: 1003443284
· SPRING, TX 77388
· Dentist
· NPI assigned 03/26/2020
Provider Details
| Authorized Official | LOPEZ, RUBEN (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 03/26/2020 |
Related Entities
Other providers sharing the same authorized official: LOPEZ, RUBEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
116 |
$498.53 |
| 2023 |
375 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
24 |
24 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
97 |
95 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
85 |
83 |
$888.56 |
| D0230 |
Intraoral - periapical each additional radiographic image |
70 |
41 |
$700.33 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$569.52 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$375.05 |
| D0350 |
|
21 |
21 |
$220.56 |
| D0602 |
|
61 |
60 |
$9.01 |
| D0603 |
|
82 |
81 |
$0.00 |
| D0601 |
|
13 |
13 |
$0.00 |