NPI: 1548643786 · STEPHENVILLE, TX 76401 · General Practice Dentistry · NPI assigned 07/07/2015
Authorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
| Authorized Official | EVANS, EVERETT (DDS, OWNER) |
| NPI Enumeration Date | 07/07/2015 |
Other providers sharing the same authorized official: EVANS, EVERETT
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA DENTAL, PLLC | EL PASO | TX | $8.83M |
| CARRIER DENTAL, PLLC | GRAND PRAIRIE | TX | $8.13M |
| SMILE MAGIC OF EL PASO PLLC | EL PASO | TX | $8.00M |
| SMILE MAGIC OF LEWISVILLE, PLLC | LEWISVILLE | TX | $7.29M |
| SMILE MAGIC OF GARLAND, PLLC | GARLAND | TX | $7.04M |
| NOLANA SMILES, PLLC | MCALLEN | TX | $5.61M |
| SMILE MAGIC OF DENTON, PLLC | DENTON | TX | $4.91M |
| KINGSVILLE DENTAL PLLC | KINGSVILLE | TX | $4.75M |
| PALESTINE DENTAL PLLC | PALESTINE | TX | $3.29M |
| LOWES BOULEVARD FAMILY DENTISTRY, PLLC | KILLEEN | TX | $3.13M |
| HUNTSVILLE DENTAL PLLC | HUNTSVILLE | TX | $2.74M |
| NACOGDOCHES DENTAL PLLC | NACOGDOCHES | TX | $2.70M |
| CARMEL VILLAGE FAMILY DENTISTRY, PLLC | CORPUS CHRISTI | TX | $2.62M |
| GRANDBURY DENTAL , PLLC | GRANBURY | TX | $2.41M |
| SAN DARIO DENTISTRY, PLLC | LAREDO | TX | $1.92M |
| BEAUMONT DENTAL PLLC | BEAUMONT | TX | $1.87M |
| MINERAL WELLS, PLLC | MINERAL WELLS | TX | $1.82M |
| BROWNWOOD DENTAL PLLS | BROWNWOOD | TX | $1.72M |
| DYER FAMILY DENTISTRY, PLLC | EL PASO | TX | $1.57M |
| FAMILY SMILES OF GREENVILLE, PLLC | GREENVILLE | TX | $1.53M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 75 | $914.89 |
| 2020 | 2,147 | $50K |
| 2021 | 14,372 | $339K |
| 2022 | 11,772 | $264K |
| 2023 | 11,608 | $251K |
| 2024 | 4,108 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 1,450 | 1,408 | $190K |
| D0120 | Periodic oral evaluation - established patient | 4,167 | 3,972 | $108K |
| D1120 | Prophylaxis - child | 3,194 | 3,045 | $105K |
| D0230 | Intraoral - periapical each additional radiographic image | 10,419 | 3,996 | $104K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,051 | 501 | $93K |
| D1110 | Prophylaxis - adult | 1,446 | 1,375 | $70K |
| D1208 | Topical application of fluoride, excluding varnish | 4,620 | 4,396 | $61K |
| D0220 | Intraoral - periapical first radiographic image | 4,649 | 4,410 | $50K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 608 | 351 | $43K |
| D0272 | Bitewings - two radiographic images | 2,220 | 2,123 | $43K |
| D1351 | Sealant - per tooth | 1,404 | 235 | $33K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 143 | 29 | $20K |
| D0330 | Panoramic radiographic image | 617 | 564 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 637 | 582 | $19K |
| D0274 | Bitewings - four radiographic images | 523 | 484 | $12K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 348 | 335 | $9K |
| D9248 | 42 | 41 | $5K | |
| D0140 | Limited oral evaluation - problem focused | 197 | 183 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 43 | 43 | $3K |
| D1206 | Topical application of fluoride varnish | 14 | 14 | $191.10 |
| D0603 | 6,290 | 6,128 | $0.00 |