NORTHWEST FAMILY DENTISTRY
NPI: 1316080088
· HOUSTON, TX 77008
· General Practice Dentistry
· NPI assigned 02/14/2007
$168K
Total Medicaid Paid
Provider Details
| Authorized Official | WONG, ANDREW (GENERAL PARTNER) |
| NPI Enumeration Date | 02/14/2007 |
Related Entities
Other providers sharing the same authorized official: WONG, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
489 |
$16K |
| 2019 |
240 |
$8K |
| 2020 |
523 |
$15K |
| 2021 |
1,889 |
$45K |
| 2022 |
1,306 |
$32K |
| 2023 |
1,115 |
$30K |
| 2024 |
778 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,152 |
1,132 |
$61K |
| D0120 |
Periodic oral evaluation - established patient |
1,774 |
1,729 |
$48K |
| D0274 |
Bitewings - four radiographic images |
863 |
844 |
$28K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,785 |
1,747 |
$25K |
| D1120 |
Prophylaxis - child |
102 |
99 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
26 |
26 |
$2K |
| D0601 |
|
452 |
436 |
$0.00 |
| D0603 |
|
71 |
71 |
$0.00 |
| D0602 |
|
115 |
113 |
$0.00 |