MASON DENTAL PLLC
NPI: 1326636598
· KATY, TX 77450
· General Practice Dentistry
· NPI assigned 01/04/2021
Provider Details
| Authorized Official | GABA, AMIT (OWNER) |
| NPI Enumeration Date | 01/04/2021 |
Related Entities
Other providers sharing the same authorized official: GABA, AMIT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
332 |
$3K |
| 2023 |
274 |
$2K |
| 2024 |
459 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
44 |
16 |
$3K |
| D1120 |
Prophylaxis - child |
80 |
76 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
193 |
188 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
79 |
76 |
$2K |
| D1351 |
Sealant - per tooth |
48 |
13 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$459.16 |
| D0230 |
Intraoral - periapical each additional radiographic image |
40 |
12 |
$207.18 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
14 |
$89.42 |
| D0603 |
|
551 |
537 |
$0.04 |