NPI: 1447724547 · FORT WORTH, TX 76164 · Dentist · NPI assigned 01/11/2019
Authorized official ZAMORA, MARIBEL controls 20+ related entities in our dataset. Read more
| Authorized Official | ZAMORA, MARIBEL (ENROLLMENT COORDINATOR) |
| NPI Enumeration Date | 01/11/2019 |
Other providers sharing the same authorized official: ZAMORA, MARIBEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| WESTERN DENTAL SERVICES, INC. | HEMET | CA | $4.38M |
| WESTERN DENTAL SERVICES, INC. | OAKLAND | CA | $3.27M |
| WESTERN DENTAL SERVICES, INC. | SAN FRANCISCO | CA | $3.14M |
| WESTERN DENTAL SERVICES, INC | DELANO | CA | $2.51M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.47M |
| WESTERN DENTAL SERVICE, INC | SAN BERNARDINO | CA | $2.35M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.34M |
| WESTERN DENTAL SERVICES, INC. | FULLERTON | CA | $2.30M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.03M |
| WESTERN DENTAL SERVICES, INC. | LONG BEACH | CA | $1.87M |
| BRIDENT DENTAL ASSOCIATES PC | FORT WORTH | TX | $1.78M |
| WESTERN DENTAL SERVICES, INC. | LOS ANGELES | CA | $1.68M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.65M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.64M |
| BRIDENT DENTAL ASSOCIATES PC | PLANO | TX | $1.58M |
| WESTERN DENTAL SERVICES, INC. | STOCKTON | CA | $1.55M |
| BRIDENT DENTAL ASSOCIATES PC | MCKINNEY | TX | $1.53M |
| SOUMAVA SEN, DD, P.C. | HOUSTON | TX | $1.47M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.40M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.36M |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,008 | $53K |
| 2021 | 24,526 | $362K |
| 2022 | 23,311 | $357K |
| 2023 | 18,324 | $330K |
| 2024 | 10,630 | $179K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 17,242 | 3,194 | $281K |
| D0120 | Periodic oral evaluation - established patient | 7,001 | 6,831 | $147K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,832 | 784 | $127K |
| D1110 | Prophylaxis - adult | 3,104 | 3,020 | $116K |
| D1120 | Prophylaxis - child | 4,352 | 4,279 | $108K |
| D0230 | Intraoral - periapical each additional radiographic image | 13,354 | 7,267 | $98K |
| D0145 | Oral evaluation for a patient under three years of age | 1,017 | 996 | $92K |
| D0274 | Bitewings - four radiographic images | 3,678 | 3,569 | $85K |
| D0220 | Intraoral - periapical first radiographic image | 7,611 | 7,383 | $63K |
| D1206 | Topical application of fluoride varnish | 5,505 | 5,383 | $54K |
| D0272 | Bitewings - two radiographic images | 2,797 | 2,742 | $45K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 440 | 274 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 1,947 | 1,911 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 726 | 692 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 43 | 43 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 102 | 98 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 21 | 14 | $2K |
| D0330 | Panoramic radiographic image | 17 | 14 | $424.89 |
| D0140 | Limited oral evaluation - problem focused | 28 | 27 | $399.10 |
| D9310 | 18 | 18 | $211.41 | |
| D1330 | 15 | 14 | $12.25 | |
| D0603 | 4,312 | 4,200 | $2.19 | |
| D0602 | 4,071 | 3,982 | $1.15 | |
| D0601 | 566 | 556 | $0.29 |