NPI: 1437458197 · KINGWOOD, TX 77346 · Dentist · NPI assigned 03/21/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 154 | $2K |
| 2024 | 55 | $988.15 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 31 | 31 | $1K |
| D0120 | Periodic oral evaluation - established patient | 33 | 33 | $933.05 |
| D1206 | Topical application of fluoride varnish | 33 | 33 | $485.10 |
| D0230 | Intraoral - periapical each additional radiographic image | 31 | 15 | $356.81 |
| D0272 | Bitewings - two radiographic images | 13 | 13 | $303.94 |
| D0220 | Intraoral - periapical first radiographic image | 17 | 17 | $213.52 |
| D0603 | 51 | 51 | $0.00 |