BRAVO DENTAL
NPI: 1013376359
· DALLAS, TX 75216
· General Practice Dentistry
· NPI assigned 02/15/2016
Provider Details
| Authorized Official | NE, RITA (OWNER) |
| NPI Enumeration Date | 02/15/2016 |
Related Entities
Other providers sharing the same authorized official: NE, RITA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
483 |
$3K |
| 2022 |
1,469 |
$13K |
| 2023 |
423 |
$3K |
| 2024 |
688 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
908 |
440 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
497 |
485 |
$6K |
| D0274 |
Bitewings - four radiographic images |
179 |
177 |
$6K |
| D0350 |
|
177 |
172 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
58 |
57 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
74 |
73 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$334.80 |
| D1999 |
|
622 |
538 |
$0.00 |
| D0603 |
|
536 |
525 |
$0.00 |