NPI: 1033355649 · DALLAS, TX 75217 · General Practice Dentistry · NPI assigned 01/02/2009
Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PHAN, TIEN (VP) |
| NPI Enumeration Date | 01/02/2009 |
Other providers sharing the same authorized official: PHAN, TIEN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24 | $580.65 |
| 2020 | 145 | $2K |
| 2021 | 3,192 | $97K |
| 2022 | 743 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 339 | 128 | $32K |
| D0120 | Periodic oral evaluation - established patient | 572 | 571 | $15K |
| D1120 | Prophylaxis - child | 409 | 408 | $14K |
| D1110 | Prophylaxis - adult | 220 | 220 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 656 | 655 | $9K |
| D0274 | Bitewings - four radiographic images | 264 | 264 | $9K |
| D1351 | Sealant - per tooth | 270 | 52 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 149 | 149 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | 33 | 33 | $4K |
| D0272 | Bitewings - two radiographic images | 157 | 157 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 36 | 24 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 106 | 61 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 93 | 92 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $498.84 |
| D0603 | 369 | 368 | $0.00 | |
| D0601 | 394 | 394 | $0.00 | |
| D0602 | 25 | 25 | $0.00 |