RAINFOREST DENTAL OF DEER PARK PLLC
NPI: 1306501135
· DEER PARK, TX 77536
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/06/2021
$504.99
Total Medicaid Paid
Provider Details
| Authorized Official | ALRIHANI, DEEB (DENTIST/OWNER) |
| NPI Enumeration Date | 11/06/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
46 |
$504.99 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
15 |
13 |
$334.47 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
12 |
$170.52 |
| D0603 |
|
15 |
14 |
$0.00 |