BRAVO DENTAL
NPI: 1558729871
· DALLAS, TX 75217
· 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 |
|---|
| 2021 |
382 |
$2K |
| 2022 |
649 |
$7K |
| 2023 |
662 |
$9K |
| 2024 |
437 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
54 |
54 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
499 |
150 |
$4K |
| D0350 |
|
202 |
198 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
158 |
151 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
38 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
76 |
72 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
28 |
27 |
$782.15 |
| D0274 |
Bitewings - four radiographic images |
30 |
28 |
$665.97 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$191.10 |
| D0603 |
|
530 |
521 |
$0.00 |
| D0601 |
|
41 |
41 |
$0.00 |
| D1999 |
|
460 |
407 |
$0.00 |