NPI: 1053907501 · CARROLLTON, TX 75006 · General Practice Dentistry · NPI assigned 12/18/2020
Authorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
| Authorized Official | EVANS, EVERETT (OWNER/DENTIST) |
| NPI Enumeration Date | 12/18/2020 |
Other providers sharing the same authorized official: EVANS, EVERETT
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA DENTAL, PLLC | EL PASO | TX | $8.83M |
| CARRIER DENTAL, PLLC | GRAND PRAIRIE | TX | $8.13M |
| SMILE MAGIC OF EL PASO PLLC | EL PASO | TX | $8.00M |
| SMILE MAGIC OF LEWISVILLE, PLLC | LEWISVILLE | TX | $7.29M |
| SMILE MAGIC OF GARLAND, PLLC | GARLAND | TX | $7.04M |
| NOLANA SMILES, PLLC | MCALLEN | TX | $5.61M |
| SMILE MAGIC OF DENTON, PLLC | DENTON | TX | $4.91M |
| KINGSVILLE DENTAL PLLC | KINGSVILLE | TX | $4.75M |
| PALESTINE DENTAL PLLC | PALESTINE | TX | $3.29M |
| LOWES BOULEVARD FAMILY DENTISTRY, PLLC | KILLEEN | TX | $3.13M |
| HUNTSVILLE DENTAL PLLC | HUNTSVILLE | TX | $2.74M |
| NACOGDOCHES DENTAL PLLC | NACOGDOCHES | TX | $2.70M |
| CARMEL VILLAGE FAMILY DENTISTRY, PLLC | CORPUS CHRISTI | TX | $2.62M |
| GRANDBURY DENTAL , PLLC | GRANBURY | TX | $2.41M |
| SAN DARIO DENTISTRY, PLLC | LAREDO | TX | $1.92M |
| BEAUMONT DENTAL PLLC | BEAUMONT | TX | $1.87M |
| MINERAL WELLS, PLLC | MINERAL WELLS | TX | $1.82M |
| BROWNWOOD DENTAL PLLS | BROWNWOOD | TX | $1.72M |
| DYER FAMILY DENTISTRY, PLLC | EL PASO | TX | $1.57M |
| FAMILY SMILES OF GREENVILLE, PLLC | GREENVILLE | TX | $1.53M |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,579 | $36K |
| 2022 | 10,510 | $279K |
| 2023 | 12,226 | $381K |
| 2024 | 10,142 | $273K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 1,480 | 1,443 | $200K |
| D1351 | Sealant - per tooth | 6,273 | 1,009 | $156K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,411 | 427 | $138K |
| D1120 | Prophylaxis - child | 2,428 | 2,369 | $84K |
| D0120 | Periodic oral evaluation - established patient | 1,969 | 1,914 | $54K |
| D0230 | Intraoral - periapical each additional radiographic image | 4,412 | 2,425 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 3,071 | 2,999 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,223 | 1,198 | $41K |
| D1110 | Prophylaxis - adult | 675 | 658 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 2,754 | 2,632 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 380 | 145 | $27K |
| D0272 | Bitewings - two radiographic images | 1,690 | 1,646 | $26K |
| D0330 | Panoramic radiographic image | 709 | 695 | $23K |
| D0274 | Bitewings - four radiographic images | 718 | 701 | $22K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 126 | 28 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 221 | 220 | $15K |
| D9248 | 64 | 60 | $7K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 35 | 35 | $921.74 |
| D0140 | Limited oral evaluation - problem focused | 38 | 38 | $676.08 |
| D1206 | Topical application of fluoride varnish | 19 | 19 | $279.30 |
| D0603 | 4,761 | 4,664 | $0.08 |