TED SAKO DDS
NPI: 1558821553
· BANDERA, TX 78003
· General Practice Dentistry
· NPI assigned 03/25/2019
Provider Details
| Authorized Official | SAKO, TED (OWNER) |
| NPI Enumeration Date | 03/25/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
17 |
$248.43 |
| 2021 |
432 |
$9K |
| 2024 |
165 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
134 |
132 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
170 |
168 |
$2K |
| D1120 |
Prophylaxis - child |
64 |
64 |
$2K |
| D1110 |
Prophylaxis - adult |
26 |
24 |
$1K |
| D0272 |
Bitewings - two radiographic images |
53 |
53 |
$1K |
| D0274 |
Bitewings - four radiographic images |
26 |
24 |
$852.18 |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
24 |
$301.44 |
| D0230 |
Intraoral - periapical each additional radiographic image |
23 |
23 |
$264.73 |
| D0602 |
|
66 |
61 |
$0.00 |
| D0603 |
|
28 |
28 |
$0.00 |