NPI: 1639129331 · GEORGETOWN, TX 78628 · General Practice Dentistry · NPI assigned 05/11/2006
Authorized official CALVIN, JONATHAN controls 20+ related entities in our dataset. Read more
| Authorized Official | CALVIN, JONATHAN (CEO) |
| NPI Enumeration Date | 05/11/2006 |
Other providers sharing the same authorized official: CALVIN, JONATHAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| LONE STAR CIRCLE OF CARE | ROUND ROCK | TX | $18.03M |
| LONE STAR CIRCLE OF CARE | GEORGETOWN | TX | $15.40M |
| LONE STAR CIRCLE OF CARE | AUSTIN | TX | $13.07M |
| LONE STAR CIRCLE OF CARE | ROUND ROCK | TX | $12.14M |
| LONE STAR CIRCLE OF CARE | AUSTIN | TX | $12.02M |
| LONE STAR CIRCLE OF CARE | HUTTO | TX | $10.39M |
| LONE STAR CIRCLE OF CARE | BASTROP | TX | $7.22M |
| LONE STAR CIRCLE OF CARE | HARKER HEIGHTS | TX | $6.11M |
| LONE STAR CIRCLE OF CARE | CEDAR PARK | TX | $6.00M |
| LONE STAR CIRCLE OF CARE | ROUND ROCK | TX | $5.19M |
| LONE STAR CIRCLE OF CARE | GEORGETOWN | TX | $4.47M |
| LONE STAR CIRCLE OF CARE | AUSTIN | TX | $4.30M |
| LONE STAR CIRCLE OF CARE | HARKER HEIGHTS | TX | $4.27M |
| LONE STAR CIRCLE OF CARE | TEMPLE | TX | $3.86M |
| LONE STAR CIRCLE OF CARE | CEDAR PARK | TX | $3.64M |
| LONE STAR CIRCLE OF CARE | PFLUGERVILLE | TX | $3.15M |
| LONE STAR CIRCLE OF CARE | AUSTIN | TX | $2.62M |
| LONE STAR CIRCLE OF CARE | AUSTIN | TX | $2.33M |
| LONE STAR CIRCLE OF CARE | MARBLE FALLS | TX | $1.41M |
| LONE STAR CIRCLE OF CARE | AUSTIN | TX | $728K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $200.15 |
| 2020 | 976 | $48K |
| 2021 | 8,728 | $461K |
| 2022 | 8,061 | $453K |
| 2023 | 4,708 | $305K |
| 2024 | 3,852 | $180K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 7,454 | 6,842 | $1.44M |
| D1110 | Prophylaxis - adult | 995 | 982 | $2K |
| D0274 | Bitewings - four radiographic images | 2,932 | 2,857 | $2K |
| D0120 | Periodic oral evaluation - established patient | 2,556 | 2,493 | $1K |
| D0330 | Panoramic radiographic image | 508 | 495 | $867.38 |
| D1208 | Topical application of fluoride, excluding varnish | 4,018 | 3,953 | $398.96 |
| D0150 | Comprehensive oral evaluation - new or established patient | 286 | 280 | $394.22 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 61 | 40 | $194.40 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 69 | 53 | $148.32 |
| D1120 | Prophylaxis - child | 1,724 | 1,694 | $73.50 |
| D0603 | 3,038 | 2,992 | $0.00 | |
| D0602 | 633 | 618 | $0.00 | |
| D1351 | Sealant - per tooth | 782 | 227 | $0.00 |
| D1206 | Topical application of fluoride varnish | 534 | 503 | $0.00 |
| D0145 | Oral evaluation for a patient under three years of age | 761 | 747 | $0.00 |