SAM BASS FAMILY DENTISTRY PLLC
NPI: 1063809820
· ROUND ROCK, TX 78681
· Dental Clinic/Center
· NPI assigned 04/20/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,157 |
$14K |
| 2022 |
1,154 |
$13K |
| 2023 |
952 |
$11K |
| 2024 |
562 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
1,293 |
478 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
314 |
286 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
441 |
412 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
536 |
492 |
$5K |
| D0274 |
Bitewings - four radiographic images |
194 |
178 |
$5K |
| D1120 |
Prophylaxis - child |
142 |
130 |
$4K |
| D1110 |
Prophylaxis - adult |
51 |
50 |
$3K |
| D0350 |
|
180 |
165 |
$2K |
| D1999 |
|
35 |
30 |
$0.00 |
| D0602 |
|
639 |
612 |
$0.00 |