PARK, CHAD
NPI: 1134203391
· FT WORTH, TX 76110
· General Practice Dentistry
· NPI assigned 10/24/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
165 |
$1K |
| 2024 |
52 |
$150.72 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
12 |
$367.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
12 |
$322.28 |
| D0220 |
Intraoral - periapical first radiographic image |
36 |
24 |
$301.44 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
13 |
$161.70 |
| D0603 |
|
45 |
40 |
$0.00 |
| D1999 |
|
69 |
64 |
$0.00 |