BRAVO DENTAL
NPI: 1376902619
· GARLAND, TX 75040
· General Practice Dentistry
· NPI assigned 02/15/2016
Provider Details
| Authorized Official | NE, RITA (OWNER) |
| NPI Enumeration Date | 02/15/2016 |
Related Entities
Other providers sharing the same authorized official: NE, RITA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
33 |
$0.00 |
| 2021 |
657 |
$7K |
| 2022 |
873 |
$10K |
| 2023 |
389 |
$5K |
| 2024 |
436 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0230 |
Intraoral - periapical each additional radiographic image |
535 |
227 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
260 |
257 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
118 |
116 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
278 |
264 |
$3K |
| D1110 |
Prophylaxis - adult |
53 |
52 |
$3K |
| D1120 |
Prophylaxis - child |
63 |
62 |
$2K |
| D0274 |
Bitewings - four radiographic images |
86 |
80 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
38 |
$1K |
| D0350 |
|
172 |
168 |
$1K |
| D1999 |
|
464 |
429 |
$0.00 |
| D0603 |
|
259 |
252 |
$0.00 |
| D0602 |
|
12 |
12 |
$0.00 |
| D0601 |
|
49 |
49 |
$0.00 |