NPI: 1265906143 · FORT WORTH, TX 76114 · Dentist · NPI assigned 01/14/2019
Authorized official ZAMORA, MARIBEL controls 20+ related entities in our dataset. Read more
| Authorized Official | ZAMORA, MARIBEL (ENROLLMENT COORDINATOR) |
| NPI Enumeration Date | 01/14/2019 |
Other providers sharing the same authorized official: ZAMORA, MARIBEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| WESTERN DENTAL SERVICES, INC. | HEMET | CA | $4.38M |
| WESTERN DENTAL SERVICES, INC. | OAKLAND | CA | $3.27M |
| WESTERN DENTAL SERVICES, INC. | SAN FRANCISCO | CA | $3.14M |
| WESTERN DENTAL SERVICES, INC | DELANO | CA | $2.51M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.47M |
| WESTERN DENTAL SERVICE, INC | SAN BERNARDINO | CA | $2.35M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.34M |
| WESTERN DENTAL SERVICES, INC. | FULLERTON | CA | $2.30M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.03M |
| WESTERN DENTAL SERVICES, INC. | LONG BEACH | CA | $1.87M |
| BRIDENT DENTAL ASSOCIATES PC | FORT WORTH | TX | $1.78M |
| WESTERN DENTAL SERVICES, INC. | LOS ANGELES | CA | $1.68M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.65M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.64M |
| BRIDENT DENTAL ASSOCIATES PC | PLANO | TX | $1.58M |
| WESTERN DENTAL SERVICES, INC. | STOCKTON | CA | $1.55M |
| BRIDENT DENTAL ASSOCIATES PC | MCKINNEY | TX | $1.53M |
| SOUMAVA SEN, DD, P.C. | HOUSTON | TX | $1.47M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.40M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.36M |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,271 | $36K |
| 2021 | 15,045 | $269K |
| 2022 | 8,409 | $139K |
| 2023 | 7,281 | $112K |
| 2024 | 4,107 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 7,132 | 1,169 | $114K |
| D0145 | Oral evaluation for a patient under three years of age | 750 | 737 | $66K |
| D0120 | Periodic oral evaluation - established patient | 3,328 | 3,227 | $66K |
| D1120 | Prophylaxis - child | 2,314 | 2,257 | $56K |
| D1110 | Prophylaxis - adult | 1,420 | 1,379 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 692 | 278 | $47K |
| D0274 | Bitewings - four radiographic images | 1,447 | 1,368 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | 2,817 | 2,738 | $28K |
| D0220 | Intraoral - periapical first radiographic image | 3,636 | 3,478 | $26K |
| D0230 | Intraoral - periapical each additional radiographic image | 4,069 | 3,402 | $25K |
| D0272 | Bitewings - two radiographic images | 1,566 | 1,512 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 782 | 759 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 368 | 358 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 240 | 116 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 436 | 408 | $8K |
| D1206 | Topical application of fluoride varnish | 855 | 839 | $7K |
| D0330 | Panoramic radiographic image | 267 | 257 | $3K |
| D0603 | 4,424 | 4,295 | $10.82 | |
| D0602 | 523 | 509 | $0.29 | |
| D0601 | 47 | 45 | $0.05 |