NPI: 1487060711 · FRISCO, TX 75036 · General Practice Dentistry · NPI assigned 07/08/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 377 | $377.30 |
| 2024 | 96 | $957.83 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 14 | 14 | $494.48 |
| D1206 | Topical application of fluoride varnish | 88 | 81 | $301.35 |
| D1110 | Prophylaxis - adult | 14 | 12 | $274.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | 30 | 30 | $264.90 |
| D1120 | Prophylaxis - child | 18 | 17 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 43 | 38 | $0.00 |
| D0274 | Bitewings - four radiographic images | 18 | 14 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 36 | 31 | $0.00 |
| D0601 | 90 | 85 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 122 | 38 | $0.00 |