NPI: 1457657678 · PEARLAND, TX 77581 · General Practice Dentistry · NPI assigned 02/05/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 614 | $10K |
| 2022 | 577 | $10K |
| 2023 | 398 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 304 | 300 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 335 | 325 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 377 | 365 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 399 | 339 | $4K |
| D0274 | Bitewings - four radiographic images | 67 | 63 | $2K |
| D1120 | Prophylaxis - child | 53 | 53 | $2K |
| D1110 | Prophylaxis - adult | 27 | 26 | $1K |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $280.56 |
| D0602 | 15 | 15 | $0.00 |