NPI: 1518214428 · TERRELL, TX 75160 · General Practice Dentistry · NPI assigned 08/09/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 36 | $4K |
| 2019 | 80 | $11K |
| 2023 | 274 | $1K |
| 2024 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 101 | 75 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 127 | 33 | $409.68 |
| D0120 | Periodic oral evaluation - established patient | 33 | 31 | $346.08 |
| D0274 | Bitewings - four radiographic images | 16 | 15 | $139.44 |
| D0220 | Intraoral - periapical first radiographic image | 49 | 47 | $113.04 |
| D1206 | Topical application of fluoride varnish | 21 | 19 | $102.90 |
| D0603 | 57 | 53 | $0.00 |