NPI: 1528490562 · RICHARDSON, TX 75081 · General Practice Dentistry · NPI assigned 08/01/2013
| Authorized Official | CHANG, HANK (PRESIDENT/DENTIST) |
| NPI Enumeration Date | 08/01/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 897 | $13K |
| 2022 | 807 | $12K |
| 2023 | 905 | $12K |
| 2024 | 216 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 1,335 | 362 | $15K |
| D0120 | Periodic oral evaluation - established patient | 333 | 326 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 404 | 389 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 340 | 333 | $5K |
| D1120 | Prophylaxis - child | 129 | 127 | $4K |
| D1351 | Sealant - per tooth | 44 | 13 | $1K |
| D0274 | Bitewings - four radiographic images | 13 | 12 | $392.67 |
| D0603 | 227 | 224 | $0.00 |