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PEDIATRIC DENTAL ASSOCIATES OF LAS COLINAS
PEDIATRIC DENTAL ASSOCIATES OF LAS COLINAS
NPI: 1427494590
· IRVING, TX 75062
· Pediatric Dentist
· NPI assigned 05/16/2013
$294K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: JOSEPH, ELIZABETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
125 |
$3K |
| 2021 |
2,374 |
$63K |
| 2022 |
2,849 |
$82K |
| 2023 |
3,109 |
$72K |
| 2024 |
3,226 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
1,096 |
1,051 |
$145K |
| D1120 |
Prophylaxis - child |
1,439 |
1,390 |
$47K |
| D0120 |
Periodic oral evaluation - established patient |
1,281 |
1,242 |
$34K |
| D1206 |
Topical application of fluoride varnish |
1,459 |
1,414 |
$19K |
| D0272 |
Bitewings - two radiographic images |
679 |
652 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
993 |
938 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
949 |
871 |
$10K |
| D1351 |
Sealant - per tooth |
361 |
41 |
$10K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
111 |
99 |
$3K |
| D0330 |
Panoramic radiographic image |
16 |
16 |
$852.33 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
13 |
$459.16 |
| D1330 |
|
99 |
96 |
$12.25 |
| D0603 |
|
1,822 |
1,590 |
$0.00 |
| D0602 |
|
1,338 |
1,291 |
$0.00 |
| D9986 |
|
26 |
26 |
$0.00 |