SPRING COMPLETE CARE DENTISTRY, PLLC
NPI: 1154740124
· SPRING, TX 77373
· General Practice Dentistry
· NPI assigned 04/07/2014
Provider Details
| Authorized Official | TAN, JEFF (OWNER DENTIST) |
| NPI Enumeration Date | 04/07/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
256 |
$5K |
| 2021 |
646 |
$9K |
| 2022 |
518 |
$7K |
| 2023 |
61 |
$933.81 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
322 |
321 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
297 |
297 |
$4K |
| D1351 |
Sealant - per tooth |
138 |
14 |
$3K |
| D0272 |
Bitewings - two radiographic images |
125 |
125 |
$3K |
| D1120 |
Prophylaxis - child |
62 |
61 |
$2K |
| D1110 |
Prophylaxis - adult |
38 |
37 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$494.48 |
| D0230 |
Intraoral - periapical each additional radiographic image |
156 |
42 |
$161.14 |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$69.22 |
| D0601 |
|
304 |
303 |
$0.00 |