NPI: 1528411055 · LEANDER, TX 78641 · Dentist · NPI assigned 07/20/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 161 | $2K |
| 2024 | 76 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 15 | 15 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 71 | 52 | $712.74 |
| D0220 | Intraoral - periapical first radiographic image | 64 | 58 | $703.36 |
| D1206 | Topical application of fluoride varnish | 46 | 43 | $632.10 |
| D1120 | Prophylaxis - child | 13 | 13 | $477.75 |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 12 | $423.84 |
| D0601 | 15 | 15 | $0.00 |