DENTAL DEPOT OF LEWISVILLE, PLLC
NPI: 1437767290
· LEWISVILLE, TX 75067
· General Practice Dentistry
· NPI assigned 07/17/2020
Provider Details
| Authorized Official | KANA, HIMESH (MANAGING PARTNER DENTAL DEPOT DFW) |
| NPI Enumeration Date | 07/17/2020 |
Related Entities
Other providers sharing the same authorized official: KANA, HIMESH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
314 |
$4K |
| 2023 |
820 |
$11K |
| 2024 |
1,014 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
194 |
179 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
230 |
215 |
$6K |
| D1206 |
Topical application of fluoride varnish |
441 |
403 |
$5K |
| D1110 |
Prophylaxis - adult |
80 |
74 |
$4K |
| D0274 |
Bitewings - four radiographic images |
136 |
112 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
214 |
199 |
$2K |
| D1351 |
Sealant - per tooth |
81 |
16 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
51 |
46 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
206 |
171 |
$1K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$210.42 |
| D0603 |
|
502 |
464 |
$0.00 |