NPI: 1508533522 · PENITAS, TX 78576 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 790 | $12K |
| 2022 | 18,085 | $515K |
| 2023 | 18,287 | $486K |
| 2024 | 13,296 | $355K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 4,169 | 1,842 | $393K | |
| D2391 | 2,048 | 1,101 | $153K | |
| D0230 | 10,754 | 4,430 | $104K | |
| D1351 | 3,871 | 1,015 | $99K | |
| D0120 | 3,545 | 3,489 | $98K | |
| D1110 | 1,757 | 1,727 | $90K | |
| D1120 | 2,232 | 2,185 | $78K | |
| D0274 | 2,046 | 2,006 | $63K | |
| D1208 | 4,241 | 4,157 | $59K | |
| D0220 | 4,858 | 4,680 | $49K | |
| D0145 | 304 | 301 | $42K | |
| D0272 | 1,494 | 1,473 | $31K | |
| D9230 | 1,141 | 1,062 | $30K | |
| D0150 | 762 | 740 | $26K | |
| D2393 | 249 | 148 | $20K | |
| D0330 | 552 | 536 | $15K | |
| D0350 | 851 | 823 | $9K | |
| D2930 | 25 | 13 | $4K | |
| D0210 | 44 | 44 | $3K | |
| D1330 | 215 | 213 | $2K | |
| D0140 | 33 | 33 | $525.84 | |
| D0603 | 5,139 | 5,058 | $0.00 | |
| D0602 | 128 | 127 | $0.00 |