NPI: 1437603800 · ALAMO, TX 78516 · Dentist · NPI assigned 08/15/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 256 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 21 | 21 | $335.54 |
| D1120 | Prophylaxis - child | 18 | 18 | $294.08 |
| D0230 | Intraoral - periapical each additional radiographic image | 66 | 23 | $259.64 |
| D1206 | Topical application of fluoride varnish | 37 | 37 | $235.20 |
| D0274 | Bitewings - four radiographic images | 16 | 15 | $168.26 |
| D0220 | Intraoral - periapical first radiographic image | 26 | 25 | $141.59 |
| D0603 | 72 | 71 | $0.00 |