ABSOLUTE SMILE DUNCANVILLE PLLC
NPI: 1568982429
· DUNCANVILLE, TX 75137
· Dental Clinic/Center
· NPI assigned 06/22/2017
Provider Details
| Authorized Official | NGUYEN, CECILE (OWNER) |
| NPI Enumeration Date | 06/22/2017 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, CECILE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
162 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
70 |
13 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$494.48 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$441.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$235.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
19 |
15 |
$184.16 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$150.72 |
| D0603 |
|
16 |
16 |
$0.00 |