NPI: 1538282264 · LITTLE ELM, TX 75068 · General Practice Dentistry · NPI assigned 04/09/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 132 | $2K |
| 2022 | 109 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 73 | 71 | $2K |
| D0120 | Periodic oral evaluation - established patient | 47 | 47 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 81 | 80 | $1K |
| D1110 | Prophylaxis - adult | 12 | 12 | $548.80 |
| D1120 | Prophylaxis - child | 15 | 15 | $441.00 |
| D0602 | 13 | 12 | $0.00 |