NPI: 1174855589 · RICHMOND, TX 77407 · General Practice Dentistry · NPI assigned 02/10/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 640 | $9K |
| 2022 | 523 | $8K |
| 2023 | 479 | $6K |
| 2024 | 289 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 248 | 244 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 353 | 349 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 440 | 436 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 351 | 346 | $3K |
| D1110 | Prophylaxis - adult | 43 | 42 | $2K |
| D1120 | Prophylaxis - child | 57 | 56 | $2K |
| D0274 | Bitewings - four radiographic images | 41 | 40 | $1K |
| D0272 | Bitewings - two radiographic images | 58 | 57 | $907.14 |
| D0603 | 327 | 324 | $0.00 | |
| D0602 | 13 | 13 | $0.00 |