BAYSIDE DENTAL GROUP PLLC
NPI: 1023555075
· BAY CITY, TX 77414
· Dentist
· NPI assigned 01/30/2017
$146K
Total Medicaid Paid
Provider Details
| Authorized Official | GIV, DANIEL (PRESIDENT/DENTIST) |
| NPI Enumeration Date | 01/30/2017 |
Related Entities
Other providers sharing the same authorized official: GIV, DANIEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$191.10 |
| 2021 |
1,489 |
$25K |
| 2022 |
2,475 |
$42K |
| 2023 |
2,404 |
$40K |
| 2024 |
2,251 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
2,591 |
1,089 |
$29K |
| D0120 |
Periodic oral evaluation - established patient |
967 |
964 |
$27K |
| D1120 |
Prophylaxis - child |
562 |
558 |
$20K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,214 |
1,209 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
1,202 |
1,179 |
$14K |
| D0274 |
Bitewings - four radiographic images |
413 |
413 |
$14K |
| D1110 |
Prophylaxis - adult |
260 |
260 |
$14K |
| D0145 |
Oral evaluation for a patient under three years of age |
25 |
25 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
33 |
15 |
$3K |
| D1351 |
Sealant - per tooth |
65 |
17 |
$2K |
| D0272 |
Bitewings - two radiographic images |
44 |
44 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
26 |
$723.44 |
| D0603 |
|
1,154 |
1,148 |
$0.00 |
| D0601 |
|
14 |
14 |
$0.00 |
| D0602 |
|
61 |
60 |
$0.00 |