HEWITT KIDS DENTAL PC
NPI: 1205550142
· WOODWAY, TX 76712
· Dental Clinic/Center
· NPI assigned 10/03/2022
Provider Details
Related Entities
Other providers sharing the same authorized official: BLACKWELDER, AARON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
826 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
154 |
25 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
111 |
106 |
$4K |
| D1120 |
Prophylaxis - child |
101 |
98 |
$3K |
| D1206 |
Topical application of fluoride varnish |
140 |
136 |
$2K |
| D0272 |
Bitewings - two radiographic images |
49 |
47 |
$872.96 |
| D0230 |
Intraoral - periapical each additional radiographic image |
39 |
12 |
$414.36 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$352.56 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
17 |
15 |
$348.27 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$346.20 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
14 |
$150.72 |
| D0603 |
|
174 |
170 |
$0.00 |