ARCHSTONE DENTAL-AZLE PLLC
NPI: 1427401116
· AZLE, TX 76020
· 122300000X
$197K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
407 |
$7K |
| 2021 |
3,842 |
$60K |
| 2022 |
4,121 |
$66K |
| 2023 |
2,734 |
$41K |
| 2024 |
1,415 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
1,241 |
1,168 |
$31K |
| D1351 |
|
1,215 |
193 |
$28K |
| D1120 |
|
885 |
833 |
$27K |
| D0230 |
|
2,412 |
1,260 |
$24K |
| D0274 |
|
772 |
715 |
$20K |
| D1110 |
|
401 |
380 |
$19K |
| D0220 |
|
1,484 |
1,393 |
$16K |
| D1206 |
|
1,125 |
1,068 |
$15K |
| D0145 |
|
51 |
50 |
$7K |
| D0150 |
|
157 |
140 |
$4K |
| D1208 |
|
302 |
280 |
$4K |
| D0210 |
|
51 |
42 |
$2K |
| D0603 |
|
2,411 |
2,235 |
$99.00 |
| D0602 |
|
12 |
12 |
$0.00 |