NPI: 1467059501 · HUMBLE, TX 77396 · General Practice Dentistry · NPI assigned 10/01/2020
| Authorized Official | PATEL, KRUPA (MANAGER) |
| NPI Enumeration Date | 10/01/2020 |
Other providers sharing the same authorized official: PATEL, KRUPA
| Provider | City | State | Total Paid |
|---|---|---|---|
| RWP ENTERPRISES LLC | UNION | NJ | $136K |
| SUKHABHAI PLLC | RICHMOND | TX | $88K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 104 | $1K |
| 2022 | 571 | $10K |
| 2023 | 885 | $13K |
| 2024 | 1,574 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 1,370 | 472 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 552 | 543 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 365 | 361 | $5K |
| D0120 | Periodic oral evaluation - established patient | 190 | 182 | $5K |
| D0274 | Bitewings - four radiographic images | 138 | 134 | $5K |
| D1110 | Prophylaxis - adult | 89 | 86 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 75 | 74 | $2K |
| D1120 | Prophylaxis - child | 71 | 70 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 13 | 13 | $2K |
| D1351 | Sealant - per tooth | 59 | 12 | $1K |
| D0601 | 46 | 44 | $0.00 | |
| D0602 | 99 | 94 | $0.00 | |
| D0603 | 67 | 65 | $0.00 |