DAZZLE DENTAL CARE, PA
NPI: 1043479066
· FLOWER MOUND, TX 75028
· Dentist
· NPI assigned 06/05/2008
Provider Details
| Authorized Official | NGUYEN, JOHNIE (PRESIDENT/ DENTIST) |
| NPI Enumeration Date | 06/05/2008 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, JOHNIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
177 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
44 |
44 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
58 |
58 |
$834.96 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$406.25 |
| D0603 |
|
60 |
60 |
$0.00 |