DAISY DENTAL P.C.
NPI: 1104117241
· HICKORY CREEK, TX 75065
· Dental Clinic/Center
· NPI assigned 04/24/2011
Provider Details
| Authorized Official | NGUYEN, JOHNIE (DENTIST/PRESIDENT) |
| NPI Enumeration Date | 04/24/2011 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, JOHNIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
40 |
$300.14 |
| 2021 |
445 |
$6K |
| 2022 |
450 |
$7K |
| 2023 |
161 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
224 |
224 |
$6K |
| D0274 |
Bitewings - four radiographic images |
242 |
240 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
275 |
274 |
$4K |
| D1120 |
Prophylaxis - child |
41 |
41 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$603.68 |
| D1330 |
|
196 |
195 |
$0.00 |
| D0602 |
|
106 |
106 |
$0.00 |