NPI: 1356660724 · LEWISVILLE, TX 75067 · General Practice Dentistry · NPI assigned 05/25/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 65 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 16 | 16 | $510.52 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $486.57 |
| D1208 | Topical application of fluoride, excluding varnish | 22 | 22 | $402.42 |
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $299.09 |