NPI: 1154865731 · NEW BRAUNFELS, TX 78130 · Pediatric Dentist · NPI assigned 12/15/2016
| Authorized Official | SIMMONS, JAIME (OWNER) |
| NPI Enumeration Date | 12/15/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 844 | $19K |
| 2021 | 7,733 | $191K |
| 2022 | 8,446 | $208K |
| 2023 | 9,980 | $253K |
| 2024 | 9,122 | $234K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | 1,741 | 1,717 | $235K | |
| D1120 | 3,219 | 3,113 | $103K | |
| D1351 | 4,142 | 1,057 | $102K | |
| D0120 | 3,195 | 3,080 | $82K | |
| D2930 | 620 | 204 | $76K | |
| D0230 | 5,528 | 2,782 | $53K | |
| D0272 | 2,239 | 2,165 | $47K | |
| D0220 | 3,295 | 3,151 | $37K | |
| D1206 | 2,564 | 2,486 | $33K | |
| D2392 | 336 | 192 | $29K | |
| D0210 | 317 | 310 | $20K | |
| D1110 | 401 | 394 | $19K | |
| D0150 | 605 | 572 | $18K | |
| D9230 | 612 | 583 | $15K | |
| D1208 | 1,049 | 1,013 | $14K | |
| D0274 | 374 | 362 | $11K | |
| D2391 | 67 | 43 | $4K | |
| D9248 | 28 | 24 | $3K | |
| D1354 | 226 | 107 | $2K | |
| D7140 | 19 | 12 | $896.84 | |
| D0140 | 41 | 39 | $691.10 | |
| D0603 | 5,495 | 5,369 | $0.00 | |
| D0602 | 12 | 12 | $0.00 |