DE ZAVALA PRECISION SMILE STRUCTURE
NPI: 1043989692
· SAN ANTONIO, TX 78249
· General Practice Dentistry
· NPI assigned 09/08/2021
Provider Details
| Authorized Official | SMITH, ADAM (OWNER) |
| NPI Enumeration Date | 09/08/2021 |
Related Entities
Other providers sharing the same authorized official: SMITH, ADAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
266 |
$24K |
| 2024 |
27 |
$138.69 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
161 |
16 |
$18K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
75 |
15 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
27 |
$327.09 |
| D0272 |
Bitewings - two radiographic images |
14 |
13 |
$303.94 |
| D0603 |
|
14 |
13 |
$0.00 |