PEDIATRIC DENTISTRY OF NORTHLAKE PLLC
NPI: 1386109650
· NORTHLAKE, TX 76247
· Pediatric Dentist
· NPI assigned 01/31/2019
Provider Details
| Authorized Official | ASHCROFT, JASON (PRESIDENT) |
| NPI Enumeration Date | 01/31/2019 |
Related Entities
Other providers sharing the same authorized official: ASHCROFT, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
150 |
$2K |
| 2021 |
2,065 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
294 |
260 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
289 |
242 |
$7K |
| D1206 |
Topical application of fluoride varnish |
352 |
304 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
368 |
268 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
332 |
291 |
$4K |
| D0272 |
Bitewings - two radiographic images |
146 |
129 |
$3K |
| D0145 |
Oral evaluation for a patient under three years of age |
13 |
13 |
$2K |
| D0274 |
Bitewings - four radiographic images |
39 |
25 |
$827.18 |
| D0330 |
Panoramic radiographic image |
16 |
12 |
$752.60 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
19 |
$565.12 |
| D0603 |
|
342 |
318 |
$0.00 |