NPI: 1346334315 · BALCH SPRINGS, TX 75180 · General Practice Dentistry · NPI assigned 10/03/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 485 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 56 | 56 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 115 | 110 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 93 | 93 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 94 | 93 | $1K |
| D0274 | Bitewings - four radiographic images | 29 | 29 | $899.86 |
| D1110 | Prophylaxis - adult | 13 | 13 | $713.44 |
| D0602 | 72 | 72 | $0.00 | |
| D0603 | 13 | 13 | $0.00 |