HELLO DENTAL-PRINCETON PLLC
NPI: 1194326256
· PRINCETON, TX 75407
· General Practice Dentistry
· NPI assigned 11/05/2020
$122K
Total Medicaid Paid
Provider Details
| Authorized Official | SEMERA, TEE (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 11/05/2020 |
Related Entities
Other providers sharing the same authorized official: SEMERA, TEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,691 |
$40K |
| 2022 |
2,710 |
$38K |
| 2023 |
2,744 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
1,015 |
156 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
729 |
716 |
$17K |
| D1120 |
Prophylaxis - child |
570 |
566 |
$15K |
| D0274 |
Bitewings - four radiographic images |
595 |
585 |
$14K |
| D1110 |
Prophylaxis - adult |
360 |
354 |
$14K |
| D1206 |
Topical application of fluoride varnish |
1,031 |
1,018 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
1,107 |
1,076 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,170 |
1,009 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
165 |
165 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
60 |
28 |
$4K |
| D0272 |
Bitewings - two radiographic images |
175 |
175 |
$3K |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$1K |
| D0603 |
|
875 |
867 |
$0.00 |
| D0602 |
|
281 |
278 |
$0.00 |