NPI: 1609194778 · SAN ANTONIO, TX 78224 · Dentist · NPI assigned 05/13/2010
Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PHAN, TIEN (OWNER) |
| NPI Enumeration Date | 05/13/2010 |
Other providers sharing the same authorized official: PHAN, TIEN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $0.00 |
| 2020 | 3,117 | $79K |
| 2021 | 13,664 | $408K |
| 2022 | 8,724 | $225K |
| 2023 | 11,671 | $341K |
| 2024 | 4,801 | $116K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,428 | 1,057 | $182K |
| D1351 | Sealant - per tooth | 6,026 | 1,443 | $148K |
| D0120 | Periodic oral evaluation - established patient | 5,341 | 5,243 | $147K |
| D1110 | Prophylaxis - adult | 2,539 | 2,494 | $131K |
| D1120 | Prophylaxis - child | 2,871 | 2,820 | $99K |
| D0274 | Bitewings - four radiographic images | 2,943 | 2,883 | $94K |
| D1208 | Topical application of fluoride, excluding varnish | 5,484 | 5,387 | $77K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,124 | 534 | $63K |
| D0272 | Bitewings - two radiographic images | 1,895 | 1,858 | $42K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 314 | 100 | $39K |
| D0145 | Oral evaluation for a patient under three years of age | 224 | 213 | $30K |
| D7240 | Removal of impacted tooth - completely bony | 104 | 35 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 595 | 582 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 243 | 238 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 547 | 521 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 946 | 900 | $10K |
| D0350 | 825 | 790 | $10K | |
| D2330 | 155 | 60 | $7K | |
| D0230 | Intraoral - periapical each additional radiographic image | 733 | 688 | $7K |
| D2332 | 67 | 31 | $5K | |
| D0330 | Panoramic radiographic image | 227 | 210 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 20 | 12 | $1K |
| D0603 | 5,138 | 5,061 | $0.04 | |
| D0602 | 1,150 | 1,137 | $0.00 | |
| D0601 | 50 | 50 | $0.00 |