HEB FAMILY DENTISTRY
NPI: 1376908947
· EULESS, TX 76039
· Dentist
· NPI assigned 12/23/2015
Provider Details
| Authorized Official | MASTER, RUSHI (DENTIST) |
| NPI Enumeration Date | 12/23/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
57 |
$1K |
| 2021 |
352 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
60 |
51 |
$1K |
| D0274 |
Bitewings - four radiographic images |
54 |
44 |
$1K |
| D1206 |
Topical application of fluoride varnish |
114 |
95 |
$1K |
| D1120 |
Prophylaxis - child |
32 |
30 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
47 |
40 |
$489.84 |
| D0230 |
Intraoral - periapical each additional radiographic image |
32 |
14 |
$310.77 |
| D0602 |
|
70 |
70 |
$0.00 |