NPI: 1235864026 · DALLAS, TX 75223 · Dentist · NPI assigned 07/18/2022
Authorized official CERISE, FREDERICK controls 20+ related entities in our dataset. Read more
| Authorized Official | CERISE, FREDERICK (PRESIDENT AND CEO) |
| NPI Enumeration Date | 07/18/2022 |
Other providers sharing the same authorized official: CERISE, FREDERICK
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 983 | $31K |
| 2024 | 2,653 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1,046 | 833 | $79K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1,242 | 367 | $15K |
| 99381 | 29 | 28 | $2K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60 | 55 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 29 | 29 | $251.44 |
| 90461 | 301 | 291 | $98.47 | |
| 90677 | 284 | 276 | $0.92 | |
| 90723 | 248 | 242 | $0.00 | |
| 90647 | 189 | 183 | $0.00 | |
| 3074F | 13 | 12 | $0.00 | |
| 90656 | 16 | 16 | $0.00 | |
| 90681 | 150 | 142 | $0.00 | |
| 90670 | 16 | 12 | $0.00 | |
| 3078F | 13 | 12 | $0.00 |