NPI: 1447884176 · CANYON LAKE, TX 78133 · General Practice Dentistry · NPI assigned 03/03/2020
Authorized official THAKKAR, DHAVAL controls 20+ related entities in our dataset. Read more
| Authorized Official | THAKKAR, DHAVAL (DENTIST/ OWNER) |
| NPI Enumeration Date | 03/03/2020 |
Other providers sharing the same authorized official: THAKKAR, DHAVAL
| Provider | City | State | Total Paid |
|---|---|---|---|
| PORT ARTHUR SMILES INC | PORT ARTHUR | TX | $2.21M |
| ORANGE SMILES INC | WEST ORANGE | TX | $1.78M |
| WILLIS FAMILY DENTAL PLLC | HUMBLE | TX | $1.41M |
| GUN BARREL SMILES PLLC | GUN BARREL CITY | TX | $1.13M |
| HENDERSON SMILES PLLC | HUMBLE | TX | $1.07M |
| MEXIA DENTAL PLLC | MEXIA | TX | $1.01M |
| SANTA FE DENTAL PLLC | HUMBLE | TX | $932K |
| LINDALE SMILES | LINDALE | TX | $664K |
| ALVIN FAMILY DENTAL | ALVIN | TX | $613K |
| 3CDENTAL ORANGE PLLC | ORANGE | TX | $605K |
| POTRANCO SMILES PLLC | HUMBLE | TX | $201K |
| CASTROVILLE DENTAL PLLC | CASTROVILLE | TX | $162K |
| MARBACH SMILES PLLC | SAN ANTONIO, | TX | $159K |
| CONVERSE SMILES PLLC | SAN ANTONIO | TX | $45K |
| SHAENFIELD DENTAL PLLC | SAN ANTONIO | TX | $42K |
| GLOSS DENTAL OF ROSENBERG PLLC | ROSENBERG | TX | $29K |
| CAMP BOWIE SMILES PLLC | FORT WORTH | TX | $15K |
| ROSHARON SMILES PLLC | ROSHARON | TX | $12K |
| GLOSS DENTAL | HOUSTON | TX | $837.46 |
| MIDWAY CROSSING SMILES | DALLAS | TX | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 160 | $2K |
| 2022 | 864 | $16K |
| 2023 | 203 | $4K |
| 2024 | 355 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 428 | 47 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | 47 | 45 | $6K |
| D1120 | Prophylaxis - child | 112 | 112 | $4K |
| D1206 | Topical application of fluoride varnish | 209 | 205 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 81 | 81 | $3K |
| D0120 | Periodic oral evaluation - established patient | 91 | 88 | $2K |
| D1110 | Prophylaxis - adult | 37 | 37 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 184 | 94 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 103 | 102 | $922.48 |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $699.34 |
| D1208 | Topical application of fluoride, excluding varnish | 28 | 27 | $382.20 |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $255.99 |
| D0603 | 168 | 160 | $0.00 | |
| D0602 | 69 | 67 | $0.00 |