PHANTASTIC DENTAL CARE PA
NPI: 1467118182
· GALENA PARK, TX 77547
· General Practice Dentistry
· NPI assigned 11/17/2021
Provider Details
| Authorized Official | PHAN, MINH (PRESIDENT) |
| NPI Enumeration Date | 11/17/2021 |
Related Entities
Other providers sharing the same authorized official: PHAN, MINH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
728 |
$12K |
| 2024 |
1,241 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
55 |
51 |
$7K |
| D1120 |
Prophylaxis - child |
165 |
163 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
196 |
179 |
$5K |
| D0240 |
|
631 |
278 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
356 |
340 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
21 |
12 |
$2K |
| D1351 |
Sealant - per tooth |
68 |
15 |
$2K |
| D0272 |
Bitewings - two radiographic images |
45 |
44 |
$981.96 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
25 |
$812.36 |
| D0274 |
Bitewings - four radiographic images |
26 |
25 |
$726.81 |
| D0601 |
|
368 |
349 |
$0.01 |
| D0603 |
|
12 |
12 |
$0.00 |