NPI: 1295302107 · RICHMOND, TX 77407 · Pediatric Dentist · NPI assigned 06/09/2021
| Authorized Official | COMBEST, PHYLICIA (CO-OWNER/ PEDIATRIC DENTIST) |
| NPI Enumeration Date | 06/09/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 246 | $4K |
| 2023 | 1,839 | $30K |
| 2024 | 2,113 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 592 | 565 | $19K |
| D0272 | Bitewings - two radiographic images | 456 | 430 | $9K |
| D0120 | Periodic oral evaluation - established patient | 311 | 294 | $8K |
| D1206 | Topical application of fluoride varnish | 595 | 566 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 663 | 628 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 624 | 560 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 186 | 177 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | 59 | 58 | $5K |
| D1351 | Sealant - per tooth | 68 | 13 | $2K |
| D0603 | 483 | 458 | $0.00 | |
| D0602 | 161 | 153 | $0.00 |