NPI: 1396128534 · BURLESON, TX 76028 · General Practice Dentistry · NPI assigned 07/07/2015
Authorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
| Authorized Official | EVANS, EVERETT (DDS, OWNER) |
| NPI Enumeration Date | 07/07/2015 |
Other providers sharing the same authorized official: EVANS, EVERETT
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA DENTAL, PLLC | EL PASO | TX | $8.83M |
| CARRIER DENTAL, PLLC | GRAND PRAIRIE | TX | $8.13M |
| SMILE MAGIC OF EL PASO PLLC | EL PASO | TX | $8.00M |
| SMILE MAGIC OF LEWISVILLE, PLLC | LEWISVILLE | TX | $7.29M |
| SMILE MAGIC OF GARLAND, PLLC | GARLAND | TX | $7.04M |
| NOLANA SMILES, PLLC | MCALLEN | TX | $5.61M |
| SMILE MAGIC OF DENTON, PLLC | DENTON | TX | $4.91M |
| KINGSVILLE DENTAL PLLC | KINGSVILLE | TX | $4.75M |
| PALESTINE DENTAL PLLC | PALESTINE | TX | $3.29M |
| LOWES BOULEVARD FAMILY DENTISTRY, PLLC | KILLEEN | TX | $3.13M |
| HUNTSVILLE DENTAL PLLC | HUNTSVILLE | TX | $2.74M |
| NACOGDOCHES DENTAL PLLC | NACOGDOCHES | TX | $2.70M |
| CARMEL VILLAGE FAMILY DENTISTRY, PLLC | CORPUS CHRISTI | TX | $2.62M |
| GRANDBURY DENTAL , PLLC | GRANBURY | TX | $2.41M |
| SAN DARIO DENTISTRY, PLLC | LAREDO | TX | $1.92M |
| BEAUMONT DENTAL PLLC | BEAUMONT | TX | $1.87M |
| MINERAL WELLS, PLLC | MINERAL WELLS | TX | $1.82M |
| BROWNWOOD DENTAL PLLS | BROWNWOOD | TX | $1.72M |
| DYER FAMILY DENTISTRY, PLLC | EL PASO | TX | $1.57M |
| FAMILY SMILES OF GREENVILLE, PLLC | GREENVILLE | TX | $1.53M |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,772 | $36K |
| 2021 | 16,933 | $337K |
| 2022 | 17,034 | $356K |
| 2023 | 17,115 | $427K |
| 2024 | 12,040 | $293K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 1,984 | 1,930 | $262K |
| D1351 | Sealant - per tooth | 9,878 | 1,508 | $214K |
| D1120 | Prophylaxis - child | 3,973 | 3,793 | $132K |
| D0120 | Periodic oral evaluation - established patient | 4,819 | 4,576 | $126K |
| D0230 | Intraoral - periapical each additional radiographic image | 12,265 | 5,024 | $116K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,243 | 579 | $115K |
| D1110 | Prophylaxis - adult | 2,419 | 2,279 | $108K |
| D1208 | Topical application of fluoride, excluding varnish | 6,175 | 5,857 | $82K |
| D0274 | Bitewings - four radiographic images | 2,311 | 2,193 | $68K |
| D0220 | Intraoral - periapical first radiographic image | 5,834 | 5,478 | $63K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,656 | 1,549 | $48K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 479 | 224 | $32K |
| D0272 | Bitewings - two radiographic images | 1,810 | 1,722 | $29K |
| D0330 | Panoramic radiographic image | 846 | 803 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 449 | 419 | $23K |
| D0140 | Limited oral evaluation - problem focused | 231 | 220 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 35 | 13 | $3K |
| D1206 | Topical application of fluoride varnish | 45 | 44 | $645.33 |
| D0270 | 12 | 12 | $53.90 | |
| D0603 | 8,197 | 7,920 | $0.31 | |
| D0601 | 83 | 83 | $0.00 | |
| D0602 | 150 | 149 | $0.00 |