PEDIATRIC DENTAL PROFESSIONALS, PLLC
NPI: 1356956882
· AUSTIN, TX 78759
· Pediatric Dentist
· NPI assigned 09/11/2020
Provider Details
| Authorized Official | LIGHTFOOT, AMANDA (AUTHORIZED REPRESENTATIVE) |
| NPI Enumeration Date | 09/11/2020 |
Related Entities
Other providers sharing the same authorized official: LIGHTFOOT, AMANDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
223 |
$0.00 |
| 2021 |
524 |
$0.00 |
| 2022 |
676 |
$13K |
| 2023 |
846 |
$15K |
| 2024 |
862 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
782 |
696 |
$13K |
| D1120 |
Prophylaxis - child |
327 |
300 |
$8K |
| D1351 |
Sealant - per tooth |
348 |
85 |
$7K |
| D1206 |
Topical application of fluoride varnish |
321 |
320 |
$4K |
| D1110 |
Prophylaxis - adult |
121 |
117 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
415 |
330 |
$2K |
| D0274 |
Bitewings - four radiographic images |
71 |
71 |
$2K |
| D0272 |
Bitewings - two radiographic images |
45 |
45 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
19 |
12 |
$900.88 |
| D0220 |
Intraoral - periapical first radiographic image |
60 |
58 |
$678.24 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
12 |
$352.43 |
| D0230 |
Intraoral - periapical each additional radiographic image |
20 |
19 |
$230.20 |
| D0602 |
|
143 |
124 |
$0.00 |
| D0603 |
|
446 |
434 |
$0.00 |