NPI: 1144330499 · PEARLAND, TX 77581 · General Practice Dentistry · NPI assigned 08/30/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 56 | $1K |
| 2021 | 1,380 | $31K |
| 2022 | 1,632 | $37K |
| 2023 | 906 | $18K |
| 2024 | 367 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 865 | 838 | $24K |
| D1120 | Prophylaxis - child | 451 | 434 | $16K |
| D1351 | Sealant - per tooth | 590 | 108 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 889 | 858 | $13K |
| D0274 | Bitewings - four radiographic images | 353 | 328 | $10K |
| D1110 | Prophylaxis - adult | 174 | 170 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 63 | 32 | $5K |
| D0272 | Bitewings - two radiographic images | 30 | 29 | $675.68 |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $452.10 |
| D0603 | 913 | 891 | $0.00 |