NPI: 1174907315 · PALESTINE, TX 75801 · General Practice Dentistry · NPI assigned 07/17/2015
Authorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
| Authorized Official | EVANS, EVERETT (OWNER, DDS) |
| NPI Enumeration Date | 07/17/2015 |
Other providers sharing the same authorized official: EVANS, EVERETT
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA DENTAL, PLLC | EL PASO | TX | $8.83M |
| CARRIER DENTAL, PLLC | GRAND PRAIRIE | TX | $8.13M |
| SMILE MAGIC OF EL PASO PLLC | EL PASO | TX | $8.00M |
| SMILE MAGIC OF LEWISVILLE, PLLC | LEWISVILLE | TX | $7.29M |
| SMILE MAGIC OF GARLAND, PLLC | GARLAND | TX | $7.04M |
| NOLANA SMILES, PLLC | MCALLEN | TX | $5.61M |
| SMILE MAGIC OF DENTON, PLLC | DENTON | TX | $4.91M |
| KINGSVILLE DENTAL PLLC | KINGSVILLE | TX | $4.75M |
| LOWES BOULEVARD FAMILY DENTISTRY, PLLC | KILLEEN | TX | $3.13M |
| HUNTSVILLE DENTAL PLLC | HUNTSVILLE | TX | $2.74M |
| NACOGDOCHES DENTAL PLLC | NACOGDOCHES | TX | $2.70M |
| CARMEL VILLAGE FAMILY DENTISTRY, PLLC | CORPUS CHRISTI | TX | $2.62M |
| GRANDBURY DENTAL , PLLC | GRANBURY | TX | $2.41M |
| SAN DARIO DENTISTRY, PLLC | LAREDO | TX | $1.92M |
| BEAUMONT DENTAL PLLC | BEAUMONT | TX | $1.87M |
| MINERAL WELLS, PLLC | MINERAL WELLS | TX | $1.82M |
| BROWNWOOD DENTAL PLLS | BROWNWOOD | TX | $1.72M |
| DYER FAMILY DENTISTRY, PLLC | EL PASO | TX | $1.57M |
| FAMILY SMILES OF GREENVILLE, PLLC | GREENVILLE | TX | $1.53M |
| BURLESON DENTAL, PLLC | BURLESON | TX | $1.45M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 65 | $485.56 |
| 2019 | 174 | $2K |
| 2020 | 3,940 | $98K |
| 2021 | 33,947 | $957K |
| 2022 | 29,969 | $811K |
| 2023 | 28,834 | $791K |
| 2024 | 24,318 | $626K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 3,874 | 3,805 | $526K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3,540 | 1,599 | $326K |
| D0120 | Periodic oral evaluation - established patient | 11,151 | 10,868 | $300K |
| D1120 | Prophylaxis - child | 8,177 | 7,976 | $277K |
| D1351 | Sealant - per tooth | 10,666 | 1,875 | $272K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1,914 | 629 | $254K |
| D1110 | Prophylaxis - adult | 4,219 | 4,132 | $212K |
| D0230 | Intraoral - periapical each additional radiographic image | 20,130 | 9,027 | $205K |
| D1206 | Topical application of fluoride varnish | 11,713 | 11,452 | $159K |
| D0274 | Bitewings - four radiographic images | 4,296 | 4,206 | $137K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,725 | 908 | $123K |
| D0220 | Intraoral - periapical first radiographic image | 10,740 | 10,318 | $119K |
| D0330 | Panoramic radiographic image | 3,082 | 3,014 | $106K |
| D9248 | 770 | 727 | $84K | |
| D0210 | Intraoral - complete series of radiographic images | 990 | 989 | $64K |
| D0272 | Bitewings - two radiographic images | 4,420 | 4,336 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,578 | 1,526 | $50K |
| D0140 | Limited oral evaluation - problem focused | 644 | 612 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 172 | 167 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 227 | 212 | $3K |
| D0603 | 17,219 | 16,862 | $0.29 |