NPI: 1629152566 · CEDAR PARK, TX 78613 · Pediatric Dentist · NPI assigned 10/25/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 131 | $4K |
| 2021 | 1,084 | $24K |
| 2022 | 1,044 | $22K |
| 2023 | 866 | $16K |
| 2024 | 409 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 996 | 996 | $26K |
| D1120 | Prophylaxis - child | 571 | 571 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 1,054 | 1,053 | $15K |
| D1110 | Prophylaxis - adult | 154 | 154 | $8K |
| D0272 | Bitewings - two radiographic images | 116 | 116 | $2K |
| D1351 | Sealant - per tooth | 107 | 25 | $2K |
| D0601 | 393 | 393 | $0.00 | |
| D0603 | 130 | 130 | $0.00 | |
| D0602 | 13 | 13 | $0.00 |