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SPROUT DENTISTRY FOR KIDS ALLEN, PLLC
SPROUT DENTISTRY FOR KIDS ALLEN, PLLC
NPI: 1366198921
· ALLEN, TX 75013
· General Practice Dentistry
· NPI assigned 02/23/2022
Provider Details
| Authorized Official | CHAN, JUSTIN (PEDIATRIC DENTIST/PARTNER) |
| NPI Enumeration Date | 02/23/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,618 |
$17K |
| 2024 |
4,538 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
1,363 |
480 |
$14K |
| D1120 |
Prophylaxis - child |
403 |
397 |
$14K |
| D0350 |
|
932 |
918 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
215 |
214 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
562 |
541 |
$7K |
| D1206 |
Topical application of fluoride varnish |
454 |
446 |
$6K |
| D0145 |
Oral evaluation for a patient under three years of age |
41 |
40 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
131 |
131 |
$4K |
| D1351 |
Sealant - per tooth |
129 |
30 |
$4K |
| D9248 |
|
12 |
12 |
$1K |
| D0272 |
Bitewings - two radiographic images |
58 |
57 |
$1K |
| D1330 |
|
907 |
892 |
$746.03 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
14 |
14 |
$81.33 |
| D0603 |
|
935 |
916 |
$0.00 |