ESSENTIAL DENTAL CARE
NPI: 1013353630
· GRAND PRAIRIE, TX 75052
· Dentist
· NPI assigned 05/22/2013
$436.05
Total Medicaid Paid
Provider Details
| Authorized Official | SAPIAN, SCHUBERT (DENTIST/OWNER) |
| NPI Enumeration Date | 05/22/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
15 |
$259.65 |
| 2023 |
25 |
$176.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
15 |
13 |
$259.65 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$176.40 |
| D0602 |
|
13 |
13 |
$0.00 |