TEXAS DENTAL PARTNERS PLLC
NPI: 1215414388
· NIXON, TX 78140
· General Practice Dentistry
· NPI assigned 07/23/2018
$607.12
Total Medicaid Paid
Provider Details
| Authorized Official | SAIZ, AMANDA (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 07/23/2018 |
Related Entities
Other providers sharing the same authorized official: SAIZ, AMANDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
29 |
$607.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
15 |
13 |
$433.66 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
12 |
$173.46 |