NPI: 1508971334 · SPRING, TX 77380 · General Practice Dentistry · NPI assigned 08/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 96 | $987.41 |
| 2021 | 169 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 30 | 30 | $856.89 |
| D1208 | Topical application of fluoride, excluding varnish | 42 | 42 | $617.76 |
| D1120 | Prophylaxis - child | 16 | 16 | $584.33 |
| D0230 | Intraoral - periapical each additional radiographic image | 43 | 36 | $489.82 |
| D0220 | Intraoral - periapical first radiographic image | 38 | 38 | $477.64 |
| D0603 | 96 | 96 | $0.00 |