NPI: 1053496232 · ROWLETT, TX 75089 · General Practice Dentistry · NPI assigned 10/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 224 | $4K |
| 2022 | 250 | $3K |
| 2023 | 236 | $2K |
| 2024 | 112 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 246 | 244 | $4K |
| D1351 | Sealant - per tooth | 115 | 12 | $3K |
| D1120 | Prophylaxis - child | 78 | 77 | $3K |
| D0120 | Periodic oral evaluation - established patient | 38 | 38 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 12 | $423.84 |
| D0601 | 332 | 321 | $0.00 |