VITA DENTAL PLLC
NPI: 1316335441
· KATY, TX 77449
· General Practice Dentistry
· NPI assigned 12/23/2014
$184K
Total Medicaid Paid
Provider Details
| Authorized Official | YU, SANG PIL (CO-OWNER/DENTIST) |
| NPI Enumeration Date | 12/23/2014 |
Related Entities
Other providers sharing the same authorized official: YU, SANG PIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
75 |
$1K |
| 2021 |
2,491 |
$45K |
| 2022 |
3,520 |
$63K |
| 2023 |
2,947 |
$45K |
| 2024 |
1,960 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
1,324 |
1,302 |
$37K |
| D1120 |
|
924 |
903 |
$32K |
| D0230 |
|
2,762 |
1,279 |
$30K |
| D1208 |
|
1,594 |
1,568 |
$23K |
| D1110 |
|
334 |
332 |
$18K |
| D0220 |
|
1,436 |
1,414 |
$17K |
| D1351 |
|
458 |
86 |
$12K |
| D0274 |
|
185 |
184 |
$6K |
| D0145 |
|
42 |
42 |
$6K |
| D0272 |
|
177 |
170 |
$4K |
| D0150 |
|
25 |
24 |
$805.89 |
| D0602 |
|
1,105 |
1,094 |
$0.00 |
| D0603 |
|
611 |
604 |
$0.00 |
| D1330 |
|
16 |
16 |
$0.00 |