NPI: 1215042395 · IRVING, TX 75063 · General Practice Dentistry · NPI assigned 08/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 231 | $5K |
| 2022 | 496 | $9K |
| 2023 | 343 | $6K |
| 2024 | 124 | $900.88 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 183 | 183 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 354 | 352 | $5K |
| D0120 | Periodic oral evaluation - established patient | 169 | 167 | $5K |
| D0274 | Bitewings - four radiographic images | 62 | 61 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 68 | 68 | $2K |
| D0330 | Panoramic radiographic image | 29 | 29 | $709.93 |
| D0601 | 329 | 309 | $0.00 |