NPI: 1366766719 · SAN ANTONIO, TX 78220 · Dentist · NPI assigned 03/15/2010
Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PHAN, TIEN (OWNER) |
| NPI Enumeration Date | 03/15/2010 |
Other providers sharing the same authorized official: PHAN, TIEN
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 945 | $28K |
| 2021 | 5,362 | $160K |
| 2022 | 5,727 | $189K |
| 2023 | 5,374 | $143K |
| 2024 | 2,193 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,318 | 499 | $121K |
| D0120 | Periodic oral evaluation - established patient | 2,478 | 2,442 | $67K |
| D1351 | Sealant - per tooth | 2,609 | 560 | $62K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 729 | 318 | $50K |
| D1120 | Prophylaxis - child | 1,402 | 1,380 | $48K |
| D1110 | Prophylaxis - adult | 943 | 934 | $48K |
| D1208 | Topical application of fluoride, excluding varnish | 2,491 | 2,457 | $34K |
| D0274 | Bitewings - four radiographic images | 1,109 | 1,089 | $33K |
| D0145 | Oral evaluation for a patient under three years of age | 239 | 237 | $33K |
| D0272 | Bitewings - two radiographic images | 827 | 818 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 207 | 203 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 348 | 329 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 231 | 226 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 45 | 13 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 431 | 422 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 356 | 309 | $3K |
| D0350 | 379 | 353 | $3K | |
| D0330 | Panoramic radiographic image | 146 | 142 | $3K |
| D0603 | 3,272 | 3,240 | $1.07 | |
| D0601 | 29 | 29 | $0.00 | |
| D0602 | 12 | 12 | $0.00 |