NPI: 1275619124 · DALLAS, TX 75235 · Dentist · NPI assigned 10/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,898 | $214K |
| 2019 | 11,005 | $441K |
| 2020 | 5,525 | $232K |
| 2021 | 1,356 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | 6,551 | 5,886 | $948K | |
| D7140 | 1,046 | 790 | $523.89 | |
| D7210 | 532 | 383 | $402.49 | |
| D0330 | 1,060 | 1,049 | $360.25 | |
| D0140 | 1,815 | 1,814 | $250.31 | |
| D1110 | 983 | 983 | $208.05 | |
| D0220 | 1,798 | 1,769 | $198.56 | |
| D0274 | 866 | 866 | $117.09 | |
| D0150 | 588 | 588 | $110.20 | |
| D9430 | 871 | 764 | $99.75 | |
| D0230 | 34 | 34 | $53.20 | |
| D0120 | 1,065 | 1,065 | $34.44 | |
| D4355 | 966 | 966 | $0.00 | |
| D1330 | 2,065 | 2,012 | $0.00 | |
| D1310 | 487 | 487 | $0.00 | |
| D1206 | 494 | 493 | $0.00 | |
| D0272 | 176 | 176 | $0.00 | |
| D2392 | 86 | 70 | $0.00 | |
| D1208 | 63 | 63 | $0.00 | |
| D1351 | 40 | 12 | $0.00 | |
| D1354 | 39 | 16 | $0.00 | |
| D2391 | 116 | 87 | $0.00 | |
| D1120 | 1,043 | 1,040 | $0.00 |