NPI: 1386174993 · KATY, TX 77494 · Dentist · NPI assigned 06/15/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,334 | $22K |
| 2024 | 275 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 221 | 210 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 481 | 219 | $5K |
| D1120 | Prophylaxis - child | 121 | 115 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 237 | 224 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 234 | 222 | $3K |
| D0274 | Bitewings - four radiographic images | 66 | 65 | $2K |
| D1351 | Sealant - per tooth | 88 | 12 | $1K |
| D1110 | Prophylaxis - adult | 25 | 25 | $1K |
| D0272 | Bitewings - two radiographic images | 28 | 26 | $607.88 |
| D0603 | 90 | 88 | $0.01 | |
| D0602 | 18 | 17 | $0.00 |