NPI: 1396512166 · DUMAS, TX 79029 · Pediatric Dentist · NPI assigned 12/11/2023
| Authorized Official | SPARKMAN, JOHN (OWNER) |
| NPI Enumeration Date | 12/11/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 239 | $828.74 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 67 | 67 | $311.27 |
| D0330 | Panoramic radiographic image | 13 | 13 | $195.12 |
| D0150 | Comprehensive oral evaluation - new or established patient | 36 | 36 | $121.96 |
| D0220 | Intraoral - periapical first radiographic image | 36 | 35 | $101.32 |
| D0230 | Intraoral - periapical each additional radiographic image | 66 | 33 | $68.58 |
| D1120 | Prophylaxis - child | 21 | 21 | $30.49 |