EXCEL DENTAL PLLC
NPI: 1215512546
· MISSOURI CITY, TX 77459
· General Practice Dentistry
· NPI assigned 03/17/2021
Provider Details
| Authorized Official | NGUYEN, ANDREW (MANAGER) |
| NPI Enumeration Date | 03/17/2021 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
78 |
$645.24 |
| 2023 |
245 |
$3K |
| 2024 |
151 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
145 |
113 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
131 |
126 |
$1K |
| D1120 |
Prophylaxis - child |
28 |
28 |
$992.25 |
| D1206 |
Topical application of fluoride varnish |
45 |
45 |
$646.80 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
12 |
$423.84 |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$380.71 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$375.05 |
| D0603 |
|
74 |
73 |
$0.00 |
| D0602 |
|
12 |
12 |
$0.00 |