NPI: 1063603157 · HALTOM CITY, TX 76117 · Dentist · NPI assigned 08/05/2007
Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PHAN, TIEN (OWNER) |
| NPI Enumeration Date | 08/05/2007 |
Other providers sharing the same authorized official: PHAN, TIEN
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,134 | $28K |
| 2021 | 1,652 | $40K |
| 2022 | 2,045 | $50K |
| 2023 | 1,045 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 320 | 131 | $26K |
| D0120 | Periodic oral evaluation - established patient | 902 | 882 | $24K |
| D1120 | Prophylaxis - child | 541 | 527 | $17K |
| D1351 | Sealant - per tooth | 628 | 123 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 1,022 | 999 | $13K |
| D0145 | Oral evaluation for a patient under three years of age | 75 | 75 | $10K |
| D1110 | Prophylaxis - adult | 191 | 182 | $9K |
| D0274 | Bitewings - four radiographic images | 222 | 218 | $7K |
| D0272 | Bitewings - two radiographic images | 256 | 249 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 75 | 40 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 275 | 258 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 272 | 233 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 67 | 65 | $2K |
| D0603 | 656 | 643 | $0.00 | |
| D0601 | 337 | 335 | $0.00 | |
| D0602 | 37 | 37 | $0.00 |