TEXAS DENTAL ASSOCIATES PA
NPI: 1093256190
· HOUSTON, TX 77027
· General Practice Dentistry
· NPI assigned 03/09/2017
Provider Details
| Authorized Official | LESAGE, SAHARA (OWNER) |
| NPI Enumeration Date | 03/09/2017 |
Related Entities
Other providers sharing the same authorized official: LESAGE, SAHARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
75 |
$1K |
| 2022 |
126 |
$1K |
| 2023 |
262 |
$6K |
| 2024 |
51 |
$565.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
25 |
25 |
$4K |
| D1120 |
Prophylaxis - child |
81 |
81 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
82 |
82 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
106 |
40 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
41 |
41 |
$501.14 |
| D0603 |
|
155 |
153 |
$0.00 |
| D0601 |
|
24 |
24 |
$0.00 |