NIELSEN TOBLER PLLC
NPI: 1518423359
· COMMERCE, TX 75428
· Dentist
· NPI assigned 02/18/2019
$129K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, MELISSA (OFFICE MANAGER) |
| NPI Enumeration Date | 02/18/2019 |
Related Entities
Other providers sharing the same authorized official: SMITH, MELISSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
249 |
$6K |
| 2021 |
1,903 |
$48K |
| 2022 |
1,852 |
$49K |
| 2023 |
863 |
$20K |
| 2024 |
311 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,075 |
1,052 |
$29K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
293 |
132 |
$26K |
| D1110 |
Prophylaxis - adult |
428 |
418 |
$21K |
| D0274 |
Bitewings - four radiographic images |
626 |
603 |
$20K |
| D1120 |
Prophylaxis - child |
485 |
473 |
$17K |
| D1206 |
Topical application of fluoride varnish |
942 |
925 |
$12K |
| D0272 |
Bitewings - two radiographic images |
156 |
154 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
67 |
64 |
$895.23 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$150.72 |
| D0601 |
|
1,036 |
1,021 |
$0.00 |
| D0602 |
|
58 |
57 |
$0.00 |