SOUTH FIRST DENTAL OF OAKCLIFF
NPI: 1063609253
· DALLAS, TX 75214
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/02/2007
2,161
Beneficiary Records
Provider Details
Related Entities
Other providers sharing the same authorized official: OSAKWE, JACKSON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
166 |
$3K |
| 2021 |
1,115 |
$19K |
| 2022 |
705 |
$11K |
| 2023 |
191 |
$3K |
| 2024 |
26 |
$663.45 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
421 |
408 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
523 |
515 |
$7K |
| D1120 |
Prophylaxis - child |
152 |
150 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
335 |
327 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
308 |
298 |
$3K |
| D1110 |
Prophylaxis - adult |
41 |
41 |
$2K |
| D0274 |
Bitewings - four radiographic images |
50 |
50 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$988.96 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$966.83 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$303.90 |
| D0601 |
|
181 |
180 |
$0.00 |
| D0602 |
|
137 |
137 |
$0.00 |