EPIC WEST FAMILY DNETISTRY PLLC
NPI: 1457992844
· GRAND PRAIRIE, TX 75052
· General Practice Dentistry
· NPI assigned 10/07/2019
Provider Details
| Authorized Official | DINH, NINA (OWNER) |
| NPI Enumeration Date | 10/07/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
260 |
$3K |
| 2022 |
275 |
$3K |
| 2023 |
200 |
$1K |
| 2024 |
243 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
230 |
217 |
$3K |
| D1120 |
Prophylaxis - child |
59 |
59 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
39 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
33 |
33 |
$865.50 |
| D1351 |
Sealant - per tooth |
44 |
12 |
$790.72 |
| D1110 |
Prophylaxis - adult |
16 |
13 |
$713.44 |
| D0220 |
Intraoral - periapical first radiographic image |
51 |
50 |
$564.70 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$380.71 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
25 |
$287.75 |
| D0603 |
|
459 |
432 |
$0.00 |