FAMILY DENTISTRY OF HOUSTON PC
NPI: 1013323435
· HOUSTON, TX 77014
· General Practice Dentistry
· NPI assigned 07/07/2014
Provider Details
| Authorized Official | MARMOL, CARMEN (OFFICE MANAGER) |
| NPI Enumeration Date | 07/07/2014 |
Related Entities
Other providers sharing the same authorized official: MARMOL, CARMEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
94 |
$1K |
| 2021 |
341 |
$3K |
| 2022 |
298 |
$2K |
| 2023 |
681 |
$9K |
| 2024 |
51 |
$726.19 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
193 |
185 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
290 |
281 |
$4K |
| D1120 |
Prophylaxis - child |
66 |
66 |
$2K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$1K |
| D1351 |
Sealant - per tooth |
44 |
12 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
112 |
104 |
$1K |
| D0330 |
Panoramic radiographic image |
16 |
16 |
$696.02 |
| D0230 |
Intraoral - periapical each additional radiographic image |
47 |
41 |
$399.19 |
| D0603 |
|
671 |
652 |
$9.29 |