OAKCLIFF TOOTH FAIRY PLLC
NPI: 1598504607
· DALLAS, TX 75211
· General Practice Dentistry
· NPI assigned 05/20/2024
Provider Details
| Authorized Official | CHEN, YUEXI (DIRECTOR) |
| NPI Enumeration Date | 05/20/2024 |
Related Entities
Other providers sharing the same authorized official: CHEN, YUEXI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,304 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
91 |
43 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
434 |
138 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
132 |
132 |
$4K |
| D1120 |
Prophylaxis - child |
92 |
92 |
$3K |
| D0274 |
Bitewings - four radiographic images |
61 |
61 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
140 |
140 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
144 |
138 |
$2K |
| D1110 |
Prophylaxis - adult |
22 |
22 |
$1K |
| D1351 |
Sealant - per tooth |
40 |
13 |
$620.72 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
15 |
15 |
$406.65 |
| D0603 |
|
133 |
133 |
$0.00 |