CAPSTONE DENTISTRY PLLC
NPI: 1619459161
· HUMBLE, TX 77396
· Pediatric Dentist
· NPI assigned 08/31/2018
Provider Details
| Authorized Official | JACKSON, JESSICA (OFFICE MANAGER) |
| NPI Enumeration Date | 08/31/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
406 |
$5K |
| 2022 |
70 |
$935.17 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
77 |
70 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
101 |
93 |
$1K |
| D1120 |
Prophylaxis - child |
37 |
33 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
74 |
67 |
$854.08 |
| D0230 |
Intraoral - periapical each additional radiographic image |
68 |
62 |
$702.11 |
| D0603 |
|
119 |
113 |
$0.00 |