UR SMILE DENTAL ON HWY 6 PLLC
NPI: 1194432625
· HOUSTON, TX 77084
· Dentist
· NPI assigned 11/03/2022
Provider Details
| Authorized Official | RAVI, PRASHANTH (MEMBER) |
| Parent Organization | UR SMILE DENTAL GROUP PLLC |
| NPI Enumeration Date | 11/03/2022 |
Related Entities
Other providers sharing the same authorized official: RAVI, PRASHANTH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,104 |
$19K |
| 2024 |
927 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
320 |
314 |
$9K |
| D1110 |
Prophylaxis - adult |
112 |
110 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
370 |
356 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
361 |
342 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
353 |
325 |
$4K |
| D0274 |
Bitewings - four radiographic images |
89 |
83 |
$3K |
| D1120 |
Prophylaxis - child |
66 |
66 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
13 |
12 |
$959.19 |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$584.50 |
| D0602 |
|
308 |
303 |
$0.00 |
| D0603 |
|
12 |
12 |
$0.00 |