NPI: 1356063275 · PFLUGERVILLE, TX 78660 · General Practice Dentistry · NPI assigned 09/16/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,039 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 393 | 136 | $4K |
| D1206 | Topical application of fluoride varnish | 144 | 139 | $2K |
| D0120 | Periodic oral evaluation - established patient | 65 | 64 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 152 | 146 | $2K |
| D0274 | Bitewings - four radiographic images | 52 | 50 | $2K |
| D1120 | Prophylaxis - child | 53 | 51 | $2K |
| D1110 | Prophylaxis - adult | 28 | 27 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18 | 17 | $565.12 |
| D0603 | 134 | 130 | $0.00 |