NPI: 1639393127 · IRVING, TX 75038 · General Practice Dentistry · NPI assigned 04/13/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 27 | $2K |
| 2021 | 1,018 | $28K |
| 2022 | 645 | $11K |
| 2023 | 347 | $6K |
| 2024 | 40 | $609.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 109 | 105 | $14K |
| D1120 | Prophylaxis - child | 317 | 310 | $11K |
| D0120 | Periodic oral evaluation - established patient | 389 | 381 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 405 | 395 | $6K |
| D1351 | Sealant - per tooth | 145 | 24 | $4K |
| D0272 | Bitewings - two radiographic images | 88 | 86 | $2K |
| D1206 | Topical application of fluoride varnish | 12 | 12 | $176.40 |
| D0601 | 110 | 108 | $0.00 | |
| D0603 | 502 | 477 | $0.00 |