WINDHAVEN PEDIATRIC DENTISTRY PLLC
NPI: 1083243570
· AUBREY, TX 76227
· Pediatric Dentist
· NPI assigned 04/06/2020
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, KARRIE (MANAGER) |
| Parent Organization | WINDHAVEN PEDIATRIC DENTISTRY PLLC |
| NPI Enumeration Date | 04/06/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
198 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
19 |
19 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
35 |
33 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
19 |
19 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
19 |
19 |
$0.00 |
| D0603 |
|
19 |
19 |
$0.00 |
| D1330 |
|
19 |
19 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
49 |
19 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
19 |
19 |
$0.00 |