TLN FAMILY DENTAL PA
NPI: 1417198615
· HOUSTON, TX 77045
· Dentist
· NPI assigned 03/18/2009
3,316
Beneficiary Records
Provider Details
Related Entities
Other providers sharing the same authorized official: NICKLEBERRY, TAMMEKA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
82 |
$1K |
| 2021 |
1,192 |
$21K |
| 2022 |
997 |
$15K |
| 2023 |
636 |
$9K |
| 2024 |
515 |
$7K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
669 |
640 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
639 |
622 |
$9K |
| D1120 |
Prophylaxis - child |
216 |
210 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
489 |
472 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
405 |
393 |
$4K |
| D1110 |
Prophylaxis - adult |
82 |
79 |
$4K |
| D0272 |
Bitewings - two radiographic images |
157 |
153 |
$3K |
| D0274 |
Bitewings - four radiographic images |
109 |
106 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
34 |
32 |
$734.21 |
| D0603 |
|
569 |
559 |
$0.00 |
| D0601 |
|
39 |
37 |
$0.00 |
| D0602 |
|
14 |
13 |
$0.00 |