ACCESS DENTAL OF BEAUMONT PLLC
NPI: 1386390607
· BEAUMONT, TX 77706
· General Practice Dentistry
· NPI assigned 02/24/2022
Provider Details
| Authorized Official | CARRILLO, ANDREA (REGIONAL MANAGER) |
| NPI Enumeration Date | 02/24/2022 |
Related Entities
Other providers sharing the same authorized official: CARRILLO, ANDREA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
168 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
35 |
34 |
$907.96 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$845.12 |
| D1120 |
Prophylaxis - child |
20 |
19 |
$551.25 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$437.88 |
| D1208 |
Topical application of fluoride, excluding varnish |
20 |
19 |
$220.50 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$94.78 |
| D0602 |
|
13 |
13 |
$0.00 |
| D0603 |
|
40 |
39 |
$0.00 |