NPI: 1154330066 · BRYAN, TX 77803 · General Practice Dentistry · NPI assigned 08/07/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,435 | $58K |
| 2022 | 1,466 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 810 | 797 | $22K |
| D1110 | Prophylaxis - adult | 367 | 359 | $19K |
| D1120 | Prophylaxis - child | 470 | 464 | $16K |
| D0330 | Panoramic radiographic image | 210 | 205 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 878 | 864 | $12K |
| D0274 | Bitewings - four radiographic images | 114 | 112 | $4K |
| D0272 | Bitewings - two radiographic images | 93 | 91 | $2K |
| D0603 | 959 | 944 | $0.00 |