LOTUS DENTAL OF TEXAS
NPI: 1114593647
· GEORGETOWN, TX 78628
· General Practice Dentistry
· NPI assigned 06/03/2021
Provider Details
| Authorized Official | TIWAN, DEEPAM (ACCESS MANAGER) |
| NPI Enumeration Date | 06/03/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$372.15 |
| 2023 |
186 |
$2K |
| 2024 |
258 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
159 |
151 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
66 |
56 |
$646.87 |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$605.54 |
| D1110 |
Prophylaxis - adult |
15 |
12 |
$591.31 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
24 |
$586.32 |
| D0220 |
Intraoral - periapical first radiographic image |
46 |
44 |
$508.66 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$311.59 |
| D0602 |
|
119 |
115 |
$0.02 |