NPI: 1508412792 · IRVING, TX 75063 · General Practice Dentistry · NPI assigned 08/13/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,675 | $26K |
| 2024 | 448 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 256 | 240 | $7K |
| D1120 | Prophylaxis - child | 173 | 163 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 490 | 261 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 288 | 269 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 295 | 273 | $3K |
| D0350 | 185 | 176 | $3K | |
| D1110 | Prophylaxis - adult | 33 | 32 | $2K |
| D0274 | Bitewings - four radiographic images | 33 | 32 | $1K |
| D0272 | Bitewings - two radiographic images | 42 | 40 | $935.20 |
| D0603 | 328 | 312 | $0.00 |