DR. MATT TYSON, DDS, PC
NPI: 1396196481
· BENBROOK, TX 76116
· Dentist
· NPI assigned 06/29/2016
Provider Details
| Authorized Official | TYSON, MATT (PRESIDENT) |
| NPI Enumeration Date | 06/29/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
223 |
$4K |
| 2021 |
776 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
128 |
125 |
$4K |
| D1120 |
Prophylaxis - child |
83 |
80 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
140 |
137 |
$2K |
| D1351 |
Sealant - per tooth |
91 |
15 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
154 |
126 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
132 |
128 |
$2K |
| D0274 |
Bitewings - four radiographic images |
50 |
49 |
$2K |
| D0272 |
Bitewings - two radiographic images |
45 |
44 |
$1K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$768.32 |
| D0602 |
|
162 |
154 |
$0.00 |