DAN PHAM, DDS, PLLC
NPI: 1538260823
· SAN ANTONIO, TX 78216
· General Practice Dentistry
· NPI assigned 09/26/2006
$105K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAM, DAN (OWNER/PRESIDENT) |
| Parent Organization | DAN PHAM, DDS, PLLC |
| NPI Enumeration Date | 09/26/2006 |
Related Entities
Other providers sharing the same authorized official: PHAM, DAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
254 |
$4K |
| 2021 |
2,445 |
$48K |
| 2022 |
1,738 |
$29K |
| 2023 |
829 |
$14K |
| 2024 |
632 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,082 |
1,069 |
$30K |
| D1120 |
Prophylaxis - child |
646 |
635 |
$23K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,301 |
1,277 |
$18K |
| D0272 |
Bitewings - two radiographic images |
345 |
337 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
523 |
509 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
60 |
13 |
$6K |
| D1110 |
Prophylaxis - adult |
98 |
97 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
426 |
414 |
$5K |
| D0274 |
Bitewings - four radiographic images |
85 |
85 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
12 |
$352.43 |
| D0602 |
|
901 |
868 |
$0.00 |
| D0601 |
|
402 |
396 |
$0.00 |
| D0603 |
|
16 |
15 |
$0.00 |