TH DENTAL PLLC
NPI: 1093439291
· BELTON, TX 76513
· Dental Clinic/Center
· NPI assigned 09/30/2022
Provider Details
| Authorized Official | FERNANDEZ, CINTHIA (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 09/30/2022 |
Related Entities
Other providers sharing the same authorized official: FERNANDEZ, CINTHIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
458 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
188 |
65 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
40 |
34 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
67 |
67 |
$668.12 |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$657.59 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$404.25 |
| D1206 |
Topical application of fluoride varnish |
28 |
27 |
$382.20 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$368.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$176.40 |
| D0603 |
|
70 |
68 |
$18.06 |