NPI: 1093330789 · EL PASO, TX 79907 · General Practice Dentistry · NPI assigned 06/09/2020
Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PHAN, TIEN (OWNER) |
| NPI Enumeration Date | 06/09/2020 |
Other providers sharing the same authorized official: PHAN, TIEN
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 183 | $3K |
| 2021 | 1,306 | $33K |
| 2022 | 1,573 | $36K |
| 2023 | 1,696 | $34K |
| 2024 | 1,018 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 674 | 657 | $34K |
| D0120 | Periodic oral evaluation - established patient | 1,036 | 995 | $27K |
| D0274 | Bitewings - four radiographic images | 565 | 550 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 1,112 | 1,075 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 164 | 159 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 70 | 32 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 354 | 344 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 318 | 284 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 34 | 15 | $3K |
| D1351 | Sealant - per tooth | 91 | 12 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 59 | 58 | $2K |
| D0350 | 86 | 84 | $1K | |
| D0602 | 1,181 | 1,131 | $0.01 | |
| D0603 | 32 | 31 | $0.00 |