NPI: 1376745521 · CEDAR HILL, TX 75104 · Dentist · NPI assigned 06/01/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 40 | $437.29 |
| 2021 | 289 | $4K |
| 2022 | 360 | $5K |
| 2023 | 336 | $4K |
| 2024 | 146 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 169 | 161 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 311 | 292 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 304 | 285 | $3K |
| D1206 | Topical application of fluoride varnish | 171 | 160 | $2K |
| D0274 | Bitewings - four radiographic images | 40 | 38 | $1K |
| D1110 | Prophylaxis - adult | 14 | 14 | $714.56 |
| D1208 | Topical application of fluoride, excluding varnish | 39 | 37 | $511.56 |
| D0602 | 29 | 26 | $0.00 | |
| D0603 | 94 | 79 | $0.00 |