A-2 DENTISTS, PLLC
NPI: 1023208451
· KATY, TX 77450
· General Practice Dentistry
· NPI assigned 08/01/2007
$522.60
Total Medicaid Paid
Provider Details
| Authorized Official | CALLAWAY, JOHN (PRESIDENT) |
| NPI Enumeration Date | 08/01/2007 |
Related Entities
Other providers sharing the same authorized official: CALLAWAY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$522.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$346.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$176.40 |