CONCIERGE COSMETIC DENTISTRY
NPI: 1033612080
· DALLAS, TX 75217
· General Practice Dentistry
· NPI assigned 03/16/2018
Provider Details
| Authorized Official | LE, HUY (PRESIDENT) |
| NPI Enumeration Date | 03/16/2018 |
Related Entities
Other providers sharing the same authorized official: LE, HUY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
114 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$441.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$423.84 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
13 |
$352.43 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$280.56 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$235.20 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$200.96 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
16 |
$184.16 |
| D0603 |
|
17 |
17 |
$0.00 |