MY TEETH DENTAL ORTHODONTICS PLLC
NPI: 1053769356
· MESQUITE, TX 75150
· General Practice Dentistry
· NPI assigned 05/26/2016
Provider Details
| Authorized Official | FETOUH, OMAR (CEO) |
| NPI Enumeration Date | 05/26/2016 |
Related Entities
Other providers sharing the same authorized official: FETOUH, OMAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
296 |
$3K |
| 2022 |
608 |
$8K |
| 2023 |
859 |
$9K |
| 2024 |
302 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
512 |
231 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
404 |
388 |
$5K |
| D1351 |
Sealant - per tooth |
142 |
24 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
274 |
262 |
$3K |
| D1120 |
Prophylaxis - child |
78 |
76 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
70 |
69 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
63 |
57 |
$2K |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$257.18 |
| D0603 |
|
508 |
494 |
$0.00 |