NPI: 1528103538 · WEBSTER, TX 77598 · General Practice Dentistry · NPI assigned 02/20/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 88 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 18 | 18 | $622.98 |
| D0120 | Periodic oral evaluation - established patient | 16 | 16 | $461.60 |
| D0220 | Intraoral - periapical first radiographic image | 19 | 19 | $226.08 |
| D0230 | Intraoral - periapical each additional radiographic image | 18 | 18 | $195.67 |
| D0601 | 17 | 16 | $0.00 |