AUSTIN RIVERSIDE - DR, LLC
NPI: 1144520859
· AUSTIN, TX 78741
· General Practice Dentistry
· NPI assigned 10/27/2010
Provider Details
| Authorized Official | TRAN, SON (PRESIDENT) |
| NPI Enumeration Date | 10/27/2010 |
Related Entities
Other providers sharing the same authorized official: TRAN, SON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
88 |
$1K |
| 2021 |
1,021 |
$14K |
| 2022 |
494 |
$6K |
| 2023 |
181 |
$2K |
| 2024 |
152 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
338 |
335 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
279 |
272 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
276 |
270 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
209 |
207 |
$3K |
| D0274 |
Bitewings - four radiographic images |
65 |
64 |
$2K |
| D0350 |
|
92 |
91 |
$2K |
| D1110 |
Prophylaxis - adult |
27 |
27 |
$1K |
| D0460 |
|
45 |
45 |
$551.25 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$446.46 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$415.76 |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$367.50 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$280.56 |
| D0603 |
|
541 |
533 |
$0.00 |