JUST DENTAL, PLLC
NPI: 1336457779
· RICHMOND, TX 77407
· Dentist
· NPI assigned 09/20/2010
$490K
Total Medicaid Paid
Provider Details
| Authorized Official | LE, ANH (VICE PRESIDENT) |
| NPI Enumeration Date | 09/20/2010 |
Related Entities
Other providers sharing the same authorized official: LE, ANH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
594 |
$9K |
| 2021 |
7,134 |
$121K |
| 2022 |
9,508 |
$184K |
| 2023 |
6,594 |
$109K |
| 2024 |
4,049 |
$67K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
7,614 |
3,275 |
$85K |
| D1351 |
Sealant - per tooth |
2,987 |
472 |
$80K |
| D0120 |
Periodic oral evaluation - established patient |
2,575 |
2,541 |
$71K |
| D1120 |
Prophylaxis - child |
1,790 |
1,767 |
$63K |
| D0274 |
Bitewings - four radiographic images |
1,444 |
1,428 |
$47K |
| D0220 |
Intraoral - periapical first radiographic image |
3,450 |
3,402 |
$41K |
| D1110 |
Prophylaxis - adult |
624 |
614 |
$32K |
| D1206 |
Topical application of fluoride varnish |
1,769 |
1,761 |
$25K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,354 |
1,343 |
$19K |
| D0145 |
Oral evaluation for a patient under three years of age |
89 |
88 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
317 |
312 |
$10K |
| D0272 |
Bitewings - two radiographic images |
158 |
158 |
$4K |
| D0602 |
|
3,505 |
3,425 |
$9.17 |
| D0603 |
|
12 |
12 |
$0.00 |
| D0601 |
|
191 |
190 |
$0.00 |