NPI: 1629485461 · SPRING, TX 77379 · Dentist · NPI assigned 07/14/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,008 | $16K |
| 2024 | 410 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 176 | 163 | $6K |
| D0120 | Periodic oral evaluation - established patient | 202 | 184 | $5K |
| D1351 | Sealant - per tooth | 108 | 29 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 214 | 196 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 216 | 196 | $2K |
| D0272 | Bitewings - two radiographic images | 103 | 94 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 206 | 181 | $2K |
| D0603 | 193 | 174 | $0.00 |