NPI: 1629150701 · TYLER, TX 75703 · Pediatric Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 557 | $7K |
| 2021 | 5,926 | $153K |
| 2022 | 3,895 | $63K |
| 2023 | 1,945 | $27K |
| 2024 | 174 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 568 | 107 | $78K | |
| D1120 | 1,418 | 1,314 | $42K | |
| D0120 | 1,462 | 1,353 | $36K | |
| D0230 | 3,456 | 1,111 | $34K | |
| D1208 | 1,577 | 1,440 | $19K | |
| D0220 | 1,340 | 1,242 | $14K | |
| D3220 | 143 | 56 | $11K | |
| D1351 | 366 | 97 | $9K | |
| D2391 | 37 | 13 | $3K | |
| D9420 | 71 | 59 | $2K | |
| D0272 | 88 | 76 | $2K | |
| D0150 | 41 | 40 | $1K | |
| D0274 | 36 | 36 | $1K | |
| D9230 | 43 | 38 | $975.96 | |
| D0140 | 59 | 58 | $957.78 | |
| D0603 | 1,732 | 1,575 | $0.00 | |
| D0602 | 60 | 60 | $0.00 |