TIME SQUARE DENTAL GROUP
NPI: 1225369077
· PASADENA, TX 77505
· Periodontist
· NPI assigned 01/19/2010
Provider Details
| Authorized Official | DACCAK, RAZAN (OWNER) |
| NPI Enumeration Date | 01/19/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
246 |
$4K |
| 2021 |
972 |
$14K |
| 2022 |
1,243 |
$21K |
| 2023 |
697 |
$10K |
| 2024 |
136 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
600 |
573 |
$15K |
| D1110 |
Prophylaxis - adult |
187 |
180 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
654 |
632 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
519 |
501 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
552 |
468 |
$5K |
| D1120 |
Prophylaxis - child |
98 |
95 |
$3K |
| D0274 |
Bitewings - four radiographic images |
99 |
98 |
$3K |
| D0272 |
Bitewings - two radiographic images |
64 |
62 |
$1K |
| D0601 |
|
521 |
506 |
$0.03 |