NPI: 1255778247 · DENTON, TX 76205 · General Practice Dentistry · NPI assigned 05/30/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 227 | $2K |
| 2020 | 772 | $16K |
| 2021 | 798 | $13K |
| 2022 | 152 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 122 | 122 | $20K |
| D0120 | Periodic oral evaluation - established patient | 63 | 63 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 438 | 430 | $3K |
| D0274 | Bitewings - four radiographic images | 248 | 247 | $1K |
| D1110 | Prophylaxis - adult | 40 | 40 | $99.34 |
| D1120 | Prophylaxis - child | 88 | 88 | $56.67 |
| D1206 | Topical application of fluoride varnish | 126 | 126 | $17.87 |
| D0230 | Intraoral - periapical each additional radiographic image | 798 | 299 | $3.85 |
| D0330 | Panoramic radiographic image | 26 | 26 | $0.00 |