BRAVO DENTAL
NPI: 1538527940
· DALLAS, TX 75211
· General Practice Dentistry
· NPI assigned 02/01/2016
Provider Details
| Authorized Official | NE, RITA (OWNER) |
| NPI Enumeration Date | 02/01/2016 |
Related Entities
Other providers sharing the same authorized official: NE, RITA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$0.00 |
| 2021 |
1,041 |
$10K |
| 2022 |
1,610 |
$24K |
| 2023 |
942 |
$9K |
| 2024 |
878 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
243 |
241 |
$33K |
| D0230 |
Intraoral - periapical each additional radiographic image |
916 |
304 |
$7K |
| D0350 |
|
381 |
362 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
347 |
331 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
102 |
100 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
185 |
181 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
62 |
56 |
$2K |
| D0274 |
Bitewings - four radiographic images |
54 |
51 |
$1K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$514.50 |
| D0603 |
|
1,448 |
1,404 |
$0.00 |
| D1999 |
|
731 |
675 |
$0.00 |