NPI: 1194075341 · SULPHUR SPRINGS, TX 75482 · General Practice Dentistry · NPI assigned 09/14/2012
| Authorized Official | SHETTY, PRAVEENA (OWNER) |
| NPI Enumeration Date | 09/14/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 154 | $3K |
| 2020 | 1,871 | $41K |
| 2021 | 12,226 | $302K |
| 2022 | 9,941 | $254K |
| 2023 | 10,197 | $262K |
| 2024 | 7,326 | $187K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 8,501 | 1,755 | $222K | |
| D0120 | 4,162 | 4,125 | $117K | |
| D1120 | 2,940 | 2,904 | $104K | |
| D0145 | 700 | 698 | $98K | |
| D1110 | 1,848 | 1,825 | $97K | |
| D0274 | 2,911 | 2,869 | $92K | |
| D2392 | 810 | 412 | $81K | |
| D1208 | 4,736 | 4,667 | $68K | |
| D0230 | 4,656 | 1,749 | $49K | |
| D2391 | 598 | 316 | $45K | |
| D0220 | 2,169 | 2,115 | $25K | |
| D9230 | 739 | 676 | $20K | |
| D0150 | 538 | 526 | $18K | |
| D0272 | 350 | 347 | $8K | |
| D2930 | 27 | 12 | $4K | |
| D1330 | 178 | 178 | $2K | |
| D0330 | 18 | 18 | $523.89 | |
| D0350 | 18 | 18 | $238.94 | |
| D0603 | 5,776 | 5,696 | $0.02 | |
| D0601 | 26 | 26 | $0.00 | |
| D0602 | 14 | 14 | $0.00 |