PASADENA DENTAL SMILE, PLLC
NPI: 1063920015
· PASADENA, TX 77504
· General Practice Dentistry
· NPI assigned 01/11/2018
Provider Details
| Authorized Official | PHAM, JAMES (OWNER) |
| NPI Enumeration Date | 01/11/2018 |
Related Entities
Other providers sharing the same authorized official: PHAM, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
416 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
145 |
141 |
$20K |
| D1120 |
Prophylaxis - child |
13 |
12 |
$441.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
25 |
$367.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
40 |
25 |
$310.77 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
26 |
$213.52 |
| D0601 |
|
165 |
160 |
$0.00 |