CEN-TEX FAMILY DENTAL PLLC
NPI: 1215391057
· KILLEEN, TX 76549
· General Practice Dentistry
· NPI assigned 04/07/2016
$104K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BALDWIN, SUZANNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$149.46 |
| 2021 |
2,877 |
$55K |
| 2022 |
1,713 |
$34K |
| 2023 |
797 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
675 |
662 |
$18K |
| D1120 |
Prophylaxis - child |
513 |
502 |
$17K |
| D1351 |
Sealant - per tooth |
421 |
71 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,026 |
731 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
736 |
724 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
798 |
775 |
$9K |
| D0272 |
Bitewings - two radiographic images |
361 |
355 |
$8K |
| D1110 |
Prophylaxis - adult |
137 |
135 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
49 |
26 |
$5K |
| D0274 |
Bitewings - four radiographic images |
133 |
131 |
$4K |
| D0145 |
Oral evaluation for a patient under three years of age |
13 |
13 |
$2K |
| D0601 |
|
213 |
213 |
$0.00 |
| D0602 |
|
279 |
275 |
$0.00 |
| D0603 |
|
46 |
46 |
$0.00 |