RED OAK SMILE CENTER PLLC
NPI: 1396204814
· RED OAK, TX 75154
· General Practice Dentistry
· NPI assigned 03/14/2019
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
254 |
$2K |
| 2022 |
1,080 |
$12K |
| 2023 |
2,060 |
$27K |
| 2024 |
1,040 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
456 |
402 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,120 |
497 |
$10K |
| D0274 |
Bitewings - four radiographic images |
365 |
317 |
$8K |
| D1110 |
Prophylaxis - adult |
163 |
135 |
$6K |
| D1206 |
Topical application of fluoride varnish |
540 |
489 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
607 |
537 |
$6K |
| D1120 |
Prophylaxis - child |
185 |
174 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
65 |
52 |
$2K |
| D0603 |
|
933 |
852 |
$0.00 |