ECO DENTAL CARE, PLLC
NPI: 1164819488
· LAKE JACKSON, TX 77566
· General Practice Dentistry
· NPI assigned 04/24/2015
Provider Details
| Authorized Official | TRAN, SHAWN (MANAGER) |
| NPI Enumeration Date | 04/24/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
161 |
$2K |
| 2021 |
490 |
$6K |
| 2022 |
1,406 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
200 |
183 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
614 |
295 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
177 |
166 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
352 |
326 |
$4K |
| D1206 |
Topical application of fluoride varnish |
258 |
242 |
$3K |
| D0274 |
Bitewings - four radiographic images |
83 |
75 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
13 |
$459.16 |
| D1110 |
Prophylaxis - adult |
15 |
14 |
$459.13 |
| D1999 |
|
56 |
43 |
$0.00 |
| D0603 |
|
275 |
264 |
$0.00 |