DENTAL HEALTH CENTER TWO PLLC
NPI: 1093156036
· NEW CANEY, TX 77357
· Dentist
· NPI assigned 07/06/2013
$579K
Total Medicaid Paid
Provider Details
| Authorized Official | TABEL, SAMER (OWNER) |
| NPI Enumeration Date | 07/06/2013 |
Related Entities
Other providers sharing the same authorized official: TABEL, SAMER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$0.00 |
| 2020 |
1,025 |
$20K |
| 2021 |
5,767 |
$118K |
| 2022 |
7,037 |
$155K |
| 2023 |
8,292 |
$183K |
| 2024 |
4,945 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
622 |
614 |
$84K |
| D0120 |
Periodic oral evaluation - established patient |
2,998 |
2,974 |
$83K |
| D1110 |
Prophylaxis - adult |
1,455 |
1,441 |
$74K |
| D1120 |
Prophylaxis - child |
2,155 |
2,131 |
$74K |
| D0274 |
Bitewings - four radiographic images |
1,513 |
1,495 |
$49K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,504 |
3,471 |
$49K |
| D0220 |
Intraoral - periapical first radiographic image |
3,500 |
3,444 |
$42K |
| D0272 |
Bitewings - two radiographic images |
1,813 |
1,793 |
$41K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,369 |
3,318 |
$37K |
| D1351 |
Sealant - per tooth |
1,396 |
187 |
$33K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
406 |
387 |
$13K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
42 |
41 |
$1K |
| D0603 |
|
2,909 |
2,878 |
$0.00 |
| D0602 |
|
1,397 |
1,384 |
$0.00 |