NPI: 1033209275 · MISSOURI CITY, TX 77489 · General Practice Dentistry · NPI assigned 10/16/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 128 | $2K |
| 2022 | 130 | $2K |
| 2023 | 39 | $380.92 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 81 | 56 | $886.27 |
| D0274 | Bitewings - four radiographic images | 25 | 25 | $865.25 |
| D0120 | Periodic oral evaluation - established patient | 29 | 29 | $836.65 |
| D1208 | Topical application of fluoride, excluding varnish | 53 | 53 | $779.10 |
| D0220 | Intraoral - periapical first radiographic image | 58 | 57 | $690.80 |
| D0602 | 51 | 51 | $0.00 |