NPI: 1104315332 · COMMERCE, TX 75428 · General Practice Dentistry · NPI assigned 05/03/2018
Authorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
| Authorized Official | EVANS, EVERETT (OWNER) |
| NPI Enumeration Date | 05/03/2018 |
Other providers sharing the same authorized official: EVANS, EVERETT
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA DENTAL, PLLC | EL PASO | TX | $8.83M |
| CARRIER DENTAL, PLLC | GRAND PRAIRIE | TX | $8.13M |
| SMILE MAGIC OF EL PASO PLLC | EL PASO | TX | $8.00M |
| SMILE MAGIC OF LEWISVILLE, PLLC | LEWISVILLE | TX | $7.29M |
| SMILE MAGIC OF GARLAND, PLLC | GARLAND | TX | $7.04M |
| NOLANA SMILES, PLLC | MCALLEN | TX | $5.61M |
| SMILE MAGIC OF DENTON, PLLC | DENTON | TX | $4.91M |
| KINGSVILLE DENTAL PLLC | KINGSVILLE | TX | $4.75M |
| PALESTINE DENTAL PLLC | PALESTINE | TX | $3.29M |
| LOWES BOULEVARD FAMILY DENTISTRY, PLLC | KILLEEN | TX | $3.13M |
| HUNTSVILLE DENTAL PLLC | HUNTSVILLE | TX | $2.74M |
| NACOGDOCHES DENTAL PLLC | NACOGDOCHES | TX | $2.70M |
| CARMEL VILLAGE FAMILY DENTISTRY, PLLC | CORPUS CHRISTI | TX | $2.62M |
| GRANDBURY DENTAL , PLLC | GRANBURY | TX | $2.41M |
| SAN DARIO DENTISTRY, PLLC | LAREDO | TX | $1.92M |
| BEAUMONT DENTAL PLLC | BEAUMONT | TX | $1.87M |
| MINERAL WELLS, PLLC | MINERAL WELLS | TX | $1.82M |
| BROWNWOOD DENTAL PLLS | BROWNWOOD | TX | $1.72M |
| DYER FAMILY DENTISTRY, PLLC | EL PASO | TX | $1.57M |
| FAMILY SMILES OF GREENVILLE, PLLC | GREENVILLE | TX | $1.53M |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,107 | $27K |
| 2021 | 9,059 | $228K |
| 2022 | 9,234 | $230K |
| 2023 | 6,293 | $135K |
| 2024 | 6,168 | $145K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 1,088 | 1,075 | $150K |
| D1120 | Prophylaxis - child | 2,508 | 2,434 | $86K |
| D0120 | Periodic oral evaluation - established patient | 3,026 | 2,915 | $81K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 709 | 325 | $66K |
| D0230 | Intraoral - periapical each additional radiographic image | 5,521 | 3,112 | $57K |
| D1110 | Prophylaxis - adult | 1,039 | 993 | $52K |
| D0220 | Intraoral - periapical first radiographic image | 3,657 | 3,485 | $41K |
| D1351 | Sealant - per tooth | 1,548 | 273 | $39K |
| D0274 | Bitewings - four radiographic images | 1,195 | 1,161 | $35K |
| D0272 | Bitewings - two radiographic images | 1,508 | 1,468 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | 1,748 | 1,690 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 710 | 664 | $22K |
| D1206 | Topical application of fluoride varnish | 1,502 | 1,472 | $21K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 146 | 30 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 236 | 136 | $18K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 402 | 367 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 117 | 104 | $7K |
| D0330 | Panoramic radiographic image | 145 | 142 | $6K |
| D9248 | 34 | 28 | $3K | |
| D0140 | Limited oral evaluation - problem focused | 29 | 25 | $645.32 |
| D0603 | 4,993 | 4,900 | $0.00 |