ARROW DENTAL, P.A.
NPI: 1457529430
· PEARLAND, TX 77584
· General Practice Dentistry
· NPI assigned 02/13/2008
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | TRAN, ANDREW (PRESIDENT) |
| NPI Enumeration Date | 02/13/2008 |
Related Entities
Other providers sharing the same authorized official: TRAN, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
130 |
$2K |
| 2021 |
2,768 |
$49K |
| 2022 |
2,702 |
$51K |
| 2023 |
1,574 |
$28K |
| 2024 |
1,271 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,067 |
1,043 |
$29K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,375 |
1,120 |
$26K |
| D1120 |
Prophylaxis - child |
507 |
497 |
$18K |
| D1110 |
Prophylaxis - adult |
329 |
322 |
$17K |
| D0274 |
Bitewings - four radiographic images |
510 |
492 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,088 |
1,061 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,261 |
1,183 |
$14K |
| D1351 |
Sealant - per tooth |
533 |
116 |
$14K |
| D0145 |
Oral evaluation for a patient under three years of age |
24 |
24 |
$3K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$303.94 |
| D0602 |
|
221 |
220 |
$0.00 |
| D0603 |
|
160 |
154 |
$0.00 |
| D0601 |
|
357 |
354 |
$0.00 |