NPI: 1215697644 · SAN ANTONIO, TX 78217 · General Practice Dentistry · NPI assigned 12/27/2021
Authorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
| Authorized Official | EVANS, EVERETT (OWNER/DENTIST) |
| NPI Enumeration Date | 12/27/2021 |
Other providers sharing the same authorized official: EVANS, EVERETT
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA DENTAL, PLLC | EL PASO | TX | $8.83M |
| CARRIER DENTAL, PLLC | GRAND PRAIRIE | TX | $8.13M |
| SMILE MAGIC OF EL PASO PLLC | EL PASO | TX | $8.00M |
| SMILE MAGIC OF LEWISVILLE, PLLC | LEWISVILLE | TX | $7.29M |
| SMILE MAGIC OF GARLAND, PLLC | GARLAND | TX | $7.04M |
| NOLANA SMILES, PLLC | MCALLEN | TX | $5.61M |
| SMILE MAGIC OF DENTON, PLLC | DENTON | TX | $4.91M |
| KINGSVILLE DENTAL PLLC | KINGSVILLE | TX | $4.75M |
| PALESTINE DENTAL PLLC | PALESTINE | TX | $3.29M |
| LOWES BOULEVARD FAMILY DENTISTRY, PLLC | KILLEEN | TX | $3.13M |
| HUNTSVILLE DENTAL PLLC | HUNTSVILLE | TX | $2.74M |
| NACOGDOCHES DENTAL PLLC | NACOGDOCHES | TX | $2.70M |
| CARMEL VILLAGE FAMILY DENTISTRY, PLLC | CORPUS CHRISTI | TX | $2.62M |
| GRANDBURY DENTAL , PLLC | GRANBURY | TX | $2.41M |
| SAN DARIO DENTISTRY, PLLC | LAREDO | TX | $1.92M |
| BEAUMONT DENTAL PLLC | BEAUMONT | TX | $1.87M |
| MINERAL WELLS, PLLC | MINERAL WELLS | TX | $1.82M |
| BROWNWOOD DENTAL PLLS | BROWNWOOD | TX | $1.72M |
| DYER FAMILY DENTISTRY, PLLC | EL PASO | TX | $1.57M |
| FAMILY SMILES OF GREENVILLE, PLLC | GREENVILLE | TX | $1.53M |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 710 | $12K |
| 2023 | 514 | $7K |
| 2024 | 3,367 | $111K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 399 | 144 | $35K |
| D1351 | Sealant - per tooth | 905 | 154 | $19K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 100 | 25 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | 87 | 87 | $12K |
| D1120 | Prophylaxis - child | 267 | 263 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 235 | 203 | $7K |
| D1206 | Topical application of fluoride varnish | 446 | 416 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 523 | 229 | $6K |
| D0120 | Periodic oral evaluation - established patient | 157 | 153 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 287 | 277 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 59 | 27 | $3K |
| D2332 | 20 | 14 | $3K | |
| D0330 | Panoramic radiographic image | 92 | 66 | $3K |
| D0272 | Bitewings - two radiographic images | 207 | 189 | $3K |
| D9248 | 15 | 15 | $2K | |
| D1110 | Prophylaxis - adult | 46 | 28 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 19 | 19 | $513.01 |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $415.32 |
| D0603 | 714 | 660 | $0.00 |