NPI: 1376704973 · FRIENDSWOOD, TX 77546 · General Practice Dentistry · NPI assigned 06/17/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 120 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 38 | 30 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 39 | 34 | $1K |
| D1120 | Prophylaxis - child | 13 | 13 | $477.75 |
| D1208 | Topical application of fluoride, excluding varnish | 17 | 17 | $249.90 |
| D0601 | 13 | 13 | $0.00 |