DENTISTRY AT ARTYSAN LANE, PLLC
NPI: 1316304306
· MISSOURI CITY, TX 77489
· Dentist
· NPI assigned 01/21/2016
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
94 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
29 |
25 |
$692.40 |
| D1206 |
Topical application of fluoride varnish |
41 |
37 |
$515.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$441.00 |
| D0601 |
|
12 |
12 |
$0.00 |