SAMER TABEL P.C.
NPI: 1043685837
· LAREDO, TX 78043
· General Practice Dentistry
· NPI assigned 12/06/2015
$116K
Total Medicaid Paid
Provider Details
| Authorized Official | TABEL, SAMER (OWNER) |
| NPI Enumeration Date | 12/06/2015 |
Related Entities
Other providers sharing the same authorized official: TABEL, SAMER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
21 |
$0.00 |
| 2021 |
2,648 |
$36K |
| 2022 |
3,618 |
$46K |
| 2023 |
2,011 |
$28K |
| 2024 |
633 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,239 |
1,195 |
$27K |
| D1120 |
Prophylaxis - child |
757 |
723 |
$17K |
| D1110 |
Prophylaxis - adult |
346 |
342 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,178 |
1,134 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
1,121 |
1,067 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,071 |
1,020 |
$8K |
| D0272 |
Bitewings - two radiographic images |
526 |
503 |
$8K |
| D0274 |
Bitewings - four radiographic images |
339 |
333 |
$8K |
| D1351 |
Sealant - per tooth |
419 |
47 |
$7K |
| D0145 |
Oral evaluation for a patient under three years of age |
53 |
53 |
$5K |
| D1206 |
Topical application of fluoride varnish |
148 |
147 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$282.56 |
| D0603 |
|
1,720 |
1,651 |
$0.00 |