TEXAS DENTAL ASSOCIATES PA
NPI: 1396285110
· HUMBLE, TX 77346
· Endodontist
· NPI assigned 02/27/2017
Provider Details
| Authorized Official | ANDRESS, DONALD (OWNER/ORTHODONTIST) |
| NPI Enumeration Date | 02/27/2017 |
Related Entities
Other providers sharing the same authorized official: ANDRESS, DONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
36 |
$617.40 |
| 2021 |
789 |
$13K |
| 2022 |
666 |
$9K |
| 2023 |
1,611 |
$31K |
| 2024 |
1,278 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
115 |
115 |
$16K |
| D1120 |
Prophylaxis - child |
470 |
438 |
$15K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,078 |
458 |
$10K |
| D1351 |
Sealant - per tooth |
262 |
41 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
510 |
471 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
228 |
217 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
547 |
501 |
$5K |
| D0272 |
Bitewings - two radiographic images |
140 |
128 |
$3K |
| D1110 |
Prophylaxis - adult |
54 |
47 |
$2K |
| D0274 |
Bitewings - four radiographic images |
105 |
98 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
36 |
29 |
$665.76 |
| D0603 |
|
733 |
689 |
$18.00 |
| D0330 |
Panoramic radiographic image |
31 |
28 |
$11.96 |
| D0601 |
|
57 |
57 |
$0.00 |
| D0602 |
|
14 |
12 |
$0.00 |