NORTHAMPTON DENTAL PLLC
NPI: 1346889409
· TOMBALL, TX 77375
· Dental Clinic/Center
· NPI assigned 01/06/2020
$164K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, HIEU (MANAGER) |
| NPI Enumeration Date | 01/06/2020 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, HIEU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$0.00 |
| 2021 |
303 |
$3K |
| 2022 |
2,205 |
$47K |
| 2023 |
2,996 |
$69K |
| 2024 |
2,673 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
1,284 |
225 |
$32K |
| D1120 |
Prophylaxis - child |
721 |
699 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
672 |
649 |
$17K |
| D0274 |
Bitewings - four radiographic images |
523 |
514 |
$16K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
175 |
68 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
995 |
970 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
1,041 |
1,013 |
$12K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,122 |
888 |
$12K |
| D1110 |
Prophylaxis - adult |
196 |
193 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
252 |
247 |
$8K |
| D0145 |
Oral evaluation for a patient under three years of age |
26 |
25 |
$3K |
| D0272 |
Bitewings - two radiographic images |
77 |
76 |
$2K |
| D0602 |
|
980 |
956 |
$0.00 |
| D0603 |
|
125 |
124 |
$0.00 |