NPI: 1144719873 · RICHMOND, TX 77469 · General Practice Dentistry · NPI assigned 05/08/2018
| Authorized Official | DANG, TIEN (OWNER/DENTIST) |
| NPI Enumeration Date | 05/08/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 352 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 55 | 52 | $1K |
| D1120 | Prophylaxis - child | 27 | 26 | $904.07 |
| D1208 | Topical application of fluoride, excluding varnish | 63 | 60 | $830.55 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $308.03 |
| D0220 | Intraoral - periapical first radiographic image | 14 | 14 | $124.34 |
| D0230 | Intraoral - periapical each additional radiographic image | 14 | 14 | $113.95 |
| D1330 | 85 | 81 | $107.81 | |
| D0603 | 82 | 78 | $0.00 |