NPI: 1538765706 · WESLACO, TX 78596 · General Practice Dentistry · NPI assigned 12/11/2020
Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PHAN, TIEN (OWNER) |
| NPI Enumeration Date | 12/11/2020 |
Other providers sharing the same authorized official: PHAN, TIEN
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $313.98 |
| 2022 | 584 | $8K |
| 2023 | 44 | $705.02 |
| 2024 | 131 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 125 | 119 | $3K |
| D0274 | Bitewings - four radiographic images | 71 | 68 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 226 | 88 | $2K |
| D1110 | Prophylaxis - adult | 25 | 25 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 103 | 98 | $1K |
| D0350 | 70 | 67 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 13 | $452.60 |
| D1208 | Topical application of fluoride, excluding varnish | 32 | 27 | $369.33 |
| D0330 | Panoramic radiographic image | 14 | 13 | $259.78 |
| D0603 | 94 | 92 | $0.00 |