ROYALTY DENATL ASSOCIATES
NPI: 1245475193
· SPRING, TX 77379
· Dentist
· NPI assigned 12/06/2008
$104K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
191 |
$3K |
| 2021 |
1,769 |
$24K |
| 2022 |
2,099 |
$33K |
| 2023 |
1,649 |
$27K |
| 2024 |
1,157 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
831 |
763 |
$20K |
| D1110 |
Prophylaxis - adult |
368 |
350 |
$18K |
| D0274 |
Bitewings - four radiographic images |
597 |
557 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
1,193 |
1,106 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
884 |
830 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,092 |
1,025 |
$11K |
| D1120 |
Prophylaxis - child |
311 |
287 |
$9K |
| D1351 |
Sealant - per tooth |
93 |
12 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
77 |
72 |
$2K |
| D0272 |
Bitewings - two radiographic images |
57 |
54 |
$1K |
| D0601 |
|
1,362 |
1,278 |
$0.00 |