WOODLANDS ELITE DENTAL PARTNERS, PLLC
NPI: 1407969009
· SPRING, TX 77380
· General Practice Dentistry
· NPI assigned 08/16/2006
Provider Details
| Authorized Official | KIPP, DEA ANN (DIR. OPERATIONS/PROFESIONAL RELATIO) |
| Parent Organization | ALLAN HAMBURG D.D.S.,P.C. |
| NPI Enumeration Date | 08/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
19 |
$328.92 |
| 2024 |
745 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0210 |
Intraoral - complete series of radiographic images |
110 |
101 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
160 |
127 |
$3K |
| D0350 |
|
157 |
143 |
$620.62 |
| D0367 |
|
66 |
59 |
$585.00 |
| D0330 |
Panoramic radiographic image |
62 |
57 |
$255.12 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
29 |
$235.84 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
12 |
$125.59 |
| D0431 |
|
17 |
15 |
$41.00 |
| D0603 |
|
101 |
92 |
$27.14 |
| D0602 |
|
29 |
25 |
$9.02 |