LE, MAN
NPI: 1033406681
· MANSFIELD, TX 76063
· General Practice Dentistry
· NPI assigned 07/05/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
124 |
$3K |
| 2021 |
927 |
$19K |
| 2022 |
608 |
$13K |
| 2023 |
356 |
$7K |
| 2024 |
74 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
400 |
400 |
$12K |
| D1351 |
Sealant - per tooth |
344 |
67 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
478 |
478 |
$7K |
| D1110 |
Prophylaxis - adult |
94 |
94 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
254 |
253 |
$3K |
| D0274 |
Bitewings - four radiographic images |
90 |
90 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
231 |
230 |
$3K |
| D1120 |
Prophylaxis - child |
25 |
25 |
$882.00 |
| D0601 |
|
26 |
26 |
$0.00 |
| D0603 |
|
147 |
147 |
$0.00 |