NPI: 1023707106 · FORT WORTH, TX 76112 · General Practice Dentistry · NPI assigned 05/03/2023
Authorized official PHAM, LYNHTHY controls 20+ related entities in our dataset. Read more
| Authorized Official | PHAM, LYNHTHY (OWNER) |
| NPI Enumeration Date | 05/03/2023 |
Other providers sharing the same authorized official: PHAM, LYNHTHY
| Provider | City | State | Total Paid |
|---|---|---|---|
| SD GREENVILLE LLC | GREENVILLE | TX | $719K |
| SD CORPUS CHRISTI PLLC | CORPUS CHRISTI | TX | $557K |
| SD- ROOSEVELT PC | SAN ANTONIO | TX | $314K |
| SD TEXARKANA | TEXARKANA | TX | $280K |
| SD- 4315FREDERICK PC | SAN ANTONIO | TX | $218K |
| SMILEY DENTAL SINGLETON PLLC | DALLAS | TX | $215K |
| SD- POTRANCO, PC | SAN ANTONIO | TX | $178K |
| SMILEY DENTAL - UNIVERSITY | DENTON | TX | $114K |
| SMILEY DENTAL MCCART PLLC | FORT WORTH | TX | $55K |
| SMILEY DENTAL KEMP PLLC | WICHITA FALLS | TX | $47K |
| SD-BRAUN, PC | SAN ANTONIO | TX | $22K |
| SD-933SCHERTZ PC | SCHERTZ | TX | $22K |
| SD-HWY 78 PC | SAN ANTONIO | TX | $20K |
| SD-DEZAVALA PC | SAN ANTONIO | TX | $15K |
| SMILEY DENTAL LAMAR PLLC | AUSTIN | TX | $12K |
| SD SAGINAW PLLC | SAGINAW | TX | $8K |
| SD PARK ROW PLLC | ARLINGTON | TX | $6K |
| SD HALTOM CITY PLLC | HALTOM CITY | TX | $4K |
| SD VALLEY MILLS PLLC | WACO | TX | $3K |
| SD PARK LAKE PLLC | WACO | TX | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 115 | $1K |
| 2024 | 1,388 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 190 | 185 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 45 | 12 | $4K |
| D1351 | Sealant - per tooth | 104 | 19 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 281 | 200 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 180 | 178 | $2K |
| D1120 | Prophylaxis - child | 67 | 67 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 245 | 237 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 12 | 12 | $2K |
| D1110 | Prophylaxis - adult | 17 | 16 | $861.61 |
| D0274 | Bitewings - four radiographic images | 43 | 42 | $849.49 |
| D0330 | Panoramic radiographic image | 26 | 26 | $814.04 |
| D0120 | Periodic oral evaluation - established patient | 23 | 21 | $597.24 |
| D0272 | Bitewings - two radiographic images | 31 | 31 | $591.20 |
| D0603 | 222 | 213 | $0.00 | |
| D0601 | 17 | 17 | $0.00 |