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ORTHODONTICS AND COSMETIC DENTISTRY HOUSTON GROUP PA
ORTHODONTICS AND COSMETIC DENTISTRY HOUSTON GROUP PA
NPI: 1356586986
· SPRING, TX 77386
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 12/11/2008
Provider Details
| Authorized Official | DIAZ, RAFAEL (PRESIDENT) |
| NPI Enumeration Date | 12/11/2008 |
Related Entities
Other providers sharing the same authorized official: DIAZ, RAFAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$150.72 |
| 2022 |
190 |
$3K |
| 2023 |
244 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
55 |
53 |
$2K |
| D1206 |
Topical application of fluoride varnish |
100 |
96 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
106 |
72 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
89 |
86 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$713.44 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$449.93 |
| D0602 |
|
71 |
71 |
$0.00 |