NPI: 1376941013 · BRIDGEPORT, TX 76426 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,958 | $41K |
| 2021 | 16,756 | $389K |
| 2022 | 15,844 | $422K |
| 2023 | 13,672 | $312K |
| 2024 | 12,557 | $276K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 3,173 | 1,476 | $268K | |
| D2391 | 2,280 | 1,169 | $152K | |
| D0230 | 16,016 | 4,662 | $135K | |
| D1351 | 5,446 | 1,260 | $131K | |
| D0145 | 943 | 906 | $124K | |
| D0120 | 4,272 | 3,933 | $109K | |
| D1120 | 3,252 | 3,000 | $102K | |
| D1110 | 1,694 | 1,580 | $81K | |
| D0274 | 2,664 | 2,465 | $72K | |
| D9230 | 2,656 | 2,238 | $62K | |
| D0220 | 5,471 | 4,962 | $55K | |
| D1208 | 3,183 | 3,111 | $44K | |
| D2930 | 311 | 194 | $40K | |
| D1206 | 1,742 | 1,454 | $20K | |
| D0150 | 577 | 540 | $17K | |
| D0210 | 297 | 297 | $10K | |
| D3220 | 106 | 79 | $8K | |
| D0272 | 259 | 244 | $5K | |
| D0330 | 406 | 391 | $4K | |
| D0140 | 161 | 153 | $3K | |
| D0603 | 4,858 | 4,556 | $0.00 | |
| D0601 | 992 | 951 | $0.00 | |
| D0602 | 28 | 26 | $0.00 |