SULPHUR SPRINGS CHILDREN'S DENTISTRY
NPI: 1043923337
· SULPHUR SPRINGS, TX 75482
· Dental Clinic/Center
· NPI assigned 01/02/2023
Provider Details
| Authorized Official | VACULIK, BENNETT (MANAGING PARTNER) |
| NPI Enumeration Date | 01/02/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
241 |
$4K |
| 2024 |
330 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
75 |
66 |
$2K |
| D1120 |
Prophylaxis - child |
69 |
64 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
132 |
124 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
97 |
89 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
94 |
74 |
$966.84 |
| D0272 |
Bitewings - two radiographic images |
45 |
41 |
$909.24 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$298.21 |
| D0601 |
|
31 |
31 |
$0.00 |
| D0602 |
|
16 |
13 |
$0.00 |