NPI: 1134381288 · TOMBALL, TX 77375 · Dentist · NPI assigned 06/30/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 34 | $333.54 |
| 2023 | 322 | $4K |
| 2024 | 300 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 194 | 184 | $3K |
| D0120 | Periodic oral evaluation - established patient | 74 | 74 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 159 | 76 | $2K |
| D1120 | Prophylaxis - child | 42 | 42 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 93 | 89 | $1K |
| D0601 | 94 | 91 | $0.00 |