SU, TUAN
NPI: 1598819625
· CARROLLTON, TX 75007
· General Practice Dentistry
· NPI assigned 01/23/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
240 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
112 |
31 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
18 |
17 |
$432.75 |
| D0220 |
Intraoral - periapical first radiographic image |
33 |
32 |
$401.92 |
| D1208 |
Topical application of fluoride, excluding varnish |
32 |
31 |
$396.90 |
| D1120 |
Prophylaxis - child |
14 |
13 |
$367.50 |
| D1330 |
|
19 |
17 |
$36.75 |
| D0602 |
|
12 |
12 |
$0.00 |