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SMILE PROFILE DENTAL OF TEXAS PLLC
SMILE PROFILE DENTAL OF TEXAS PLLC
NPI: 1285090027
· KATY, TX 77494
· General Practice Dentistry
· NPI assigned 01/09/2016
Provider Details
Related Entities
Other providers sharing the same authorized official: KAHLON, GAGANDEEP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
115 |
$2K |
| 2021 |
1,747 |
$28K |
| 2022 |
1,794 |
$29K |
| 2023 |
1,589 |
$29K |
| 2024 |
737 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
701 |
693 |
$20K |
| D1120 |
Prophylaxis - child |
437 |
436 |
$16K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,199 |
866 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
827 |
825 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
890 |
879 |
$11K |
| D1351 |
Sealant - per tooth |
370 |
61 |
$10K |
| D0272 |
Bitewings - two radiographic images |
413 |
412 |
$10K |
| D1110 |
Prophylaxis - adult |
83 |
83 |
$5K |
| D0274 |
Bitewings - four radiographic images |
82 |
82 |
$3K |
| D0603 |
|
980 |
976 |
$0.00 |