NPI: 1568478444 · MISSOURI CITY, TX 77489 · General Practice Dentistry · NPI assigned 07/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 95 | $113.92 |
| 2022 | 74 | $96.22 |
| 2023 | 204 | $766.77 |
| 2024 | 57 | $186.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 29 | 28 | $382.20 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 13 | $211.92 |
| D0240 | 26 | 25 | $186.20 | |
| D0230 | Intraoral - periapical each additional radiographic image | 57 | 26 | $172.65 |
| D0220 | Intraoral - periapical first radiographic image | 37 | 37 | $104.92 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $69.22 |
| D0601 | 255 | 241 | $36.00 |