NPI: 1205356193 · MCKINNEY, TX 75070 · Dentist · NPI assigned 06/22/2017
| Authorized Official | HOUARI, IBRAHIM (OWNER) |
| NPI Enumeration Date | 06/22/2017 |
Other providers sharing the same authorized official: HOUARI, IBRAHIM
| Provider | City | State | Total Paid |
|---|---|---|---|
| BURST DENTAL PLLC | CARROLLTON | TX | $558K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 228 | $4K |
| 2021 | 1,555 | $24K |
| 2022 | 2,264 | $39K |
| 2023 | 2,564 | $38K |
| 2024 | 955 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 1,978 | 776 | $21K |
| D0120 | Periodic oral evaluation - established patient | 721 | 702 | $20K |
| D1120 | Prophylaxis - child | 521 | 512 | $18K |
| D1110 | Prophylaxis - adult | 247 | 244 | $13K |
| D1206 | Topical application of fluoride varnish | 739 | 726 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 857 | 833 | $10K |
| D1351 | Sealant - per tooth | 358 | 54 | $10K |
| D0274 | Bitewings - four radiographic images | 165 | 161 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 246 | 240 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 81 | 80 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 33 | 33 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 12 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | 26 | 26 | $607.88 |
| D0603 | 1,582 | 1,552 | $0.00 |