COOL DENTAL, PLLC
NPI: 1396100327
· HOUSTON, TX 77090
· General Practice Dentistry
· NPI assigned 12/17/2015
Provider Details
| Authorized Official | GILES, ROBERTO (OWNER/CLINICAL DIRECTOR) |
| NPI Enumeration Date | 12/17/2015 |
Related Entities
Other providers sharing the same authorized official: GILES, ROBERTO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
372 |
$5K |
| 2021 |
1,109 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
314 |
314 |
$4K |
| D1120 |
Prophylaxis - child |
124 |
124 |
$4K |
| D0145 |
Oral evaluation for a patient under three years of age |
27 |
27 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
153 |
152 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
195 |
194 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
185 |
173 |
$1K |
| D1351 |
Sealant - per tooth |
68 |
13 |
$1K |
| D0272 |
Bitewings - two radiographic images |
66 |
66 |
$1K |
| D0330 |
Panoramic radiographic image |
73 |
72 |
$765.66 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$548.80 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$317.88 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$207.66 |
| D0601 |
|
26 |
26 |
$0.00 |
| D0603 |
|
180 |
178 |
$0.00 |
| D0602 |
|
32 |
32 |
$0.00 |