ANDREW J. DYER, D.D.S., PLLC
NPI: 1417243486
· HORIZON CITY, TX 79928
· General Practice Dentistry
· NPI assigned 06/28/2011
$414K
Total Medicaid Paid
Provider Details
| Authorized Official | DYER, ANDREW (PRESIDENT) |
| NPI Enumeration Date | 06/28/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
568 |
$13K |
| 2021 |
4,835 |
$117K |
| 2022 |
4,572 |
$99K |
| 2023 |
5,465 |
$128K |
| 2024 |
2,622 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,768 |
1,712 |
$88K |
| D0120 |
Periodic oral evaluation - established patient |
3,200 |
3,082 |
$84K |
| D1120 |
Prophylaxis - child |
1,641 |
1,564 |
$53K |
| D0274 |
Bitewings - four radiographic images |
1,435 |
1,395 |
$46K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,361 |
3,239 |
$45K |
| D1351 |
Sealant - per tooth |
1,911 |
283 |
$44K |
| D0210 |
Intraoral - complete series of radiographic images |
443 |
428 |
$27K |
| D0272 |
Bitewings - two radiographic images |
729 |
697 |
$15K |
| D0145 |
Oral evaluation for a patient under three years of age |
83 |
82 |
$11K |
| D0602 |
|
852 |
848 |
$0.00 |
| D0601 |
|
2,639 |
2,586 |
$0.00 |