MY MOUTH DENTAL
NPI: 1316224769
· ROWLETT, TX 75088
· General Practice Dentistry
· NPI assigned 11/14/2011
Provider Details
| Authorized Official | MONTOYA, JOSE (PRESIDENT) |
| NPI Enumeration Date | 11/14/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
63 |
$2K |
| 2021 |
653 |
$16K |
| 2022 |
712 |
$15K |
| 2023 |
826 |
$17K |
| 2024 |
494 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
677 |
644 |
$34K |
| D0120 |
Periodic oral evaluation - established patient |
367 |
348 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
605 |
577 |
$8K |
| D0274 |
Bitewings - four radiographic images |
115 |
107 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
224 |
107 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
148 |
139 |
$2K |
| D0603 |
|
612 |
580 |
$0.00 |