TEXAS DENTAL ASSOCIATES, PA
NPI: 1093935389
· PASADENA, TX 77505
· General Practice Dentistry
· NPI assigned 04/27/2007
Provider Details
| Authorized Official | LESAGE, SAHARA (OWNER) |
| NPI Enumeration Date | 04/27/2007 |
Related Entities
Other providers sharing the same authorized official: LESAGE, SAHARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
199 |
$4K |
| 2021 |
1,172 |
$19K |
| 2022 |
2,363 |
$44K |
| 2023 |
549 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
590 |
566 |
$19K |
| D1351 |
Sealant - per tooth |
665 |
115 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
481 |
459 |
$13K |
| D0272 |
Bitewings - two radiographic images |
372 |
359 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
476 |
457 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
466 |
448 |
$5K |
| D1206 |
Topical application of fluoride varnish |
255 |
250 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
260 |
248 |
$3K |
| D0145 |
Oral evaluation for a patient under three years of age |
32 |
28 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
13 |
$459.16 |
| D0603 |
|
391 |
380 |
$0.00 |
| D0602 |
|
279 |
268 |
$0.00 |