NPI: 1346889409 · TOMBALL, TX 77375 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $0.00 |
| 2021 | 303 | $3K |
| 2022 | 2,205 | $47K |
| 2023 | 2,996 | $69K |
| 2024 | 2,673 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 1,284 | 225 | $32K | |
| D1120 | 721 | 699 | $22K | |
| D0120 | 672 | 649 | $17K | |
| D0274 | 523 | 514 | $16K | |
| D2392 | 175 | 68 | $15K | |
| D1208 | 995 | 970 | $13K | |
| D0220 | 1,041 | 1,013 | $12K | |
| D0230 | 1,122 | 888 | $12K | |
| D1110 | 196 | 193 | $10K | |
| D0150 | 252 | 247 | $8K | |
| D0145 | 26 | 25 | $3K | |
| D0272 | 77 | 76 | $2K | |
| D0602 | 980 | 956 | $0.00 | |
| D0603 | 125 | 124 | $0.00 |