RIVERSIDE DENTAL CLINIC, P.C.
NPI: 1144367087
· CARROLLTON, TX 75006
· General Practice Dentistry
· NPI assigned 01/31/2007
Provider Details
| Authorized Official | LEE, KYUNG (PRESIDENT) |
| NPI Enumeration Date | 01/31/2007 |
Related Entities
Other providers sharing the same authorized official: LEE, KYUNG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
295 |
$7K |
| 2022 |
297 |
$5K |
| 2023 |
239 |
$3K |
| 2024 |
97 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
276 |
268 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
293 |
285 |
$4K |
| D0274 |
Bitewings - four radiographic images |
54 |
54 |
$2K |
| D1120 |
Prophylaxis - child |
44 |
43 |
$2K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$768.32 |
| D0602 |
|
219 |
214 |
$0.00 |
| D0601 |
|
28 |
26 |
$0.00 |