4K DENTISTRY PLLC
NPI: 1245772995
· KATY, TX 77450
· Dental Clinic/Center
· NPI assigned 11/11/2016
Provider Details
| Authorized Official | KOFOWOROLA-KUTI, ANTHONY (CLINICAL DIRECTOR) |
| NPI Enumeration Date | 11/11/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
32 |
$205.80 |
| 2021 |
275 |
$1K |
| 2022 |
475 |
$5K |
| 2023 |
195 |
$2K |
| 2024 |
73 |
$696.97 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
169 |
161 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
283 |
264 |
$4K |
| D1120 |
Prophylaxis - child |
24 |
24 |
$878.33 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$689.31 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$316.28 |
| D1330 |
|
283 |
265 |
$37.25 |
| D0602 |
|
136 |
130 |
$9.06 |
| D0601 |
|
129 |
116 |
$0.00 |