NPI: 1649490962 · MISSOURI CITY, TX 77459 · General Practice Dentistry · NPI assigned 04/27/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 288 | $3K |
| 2022 | 92 | $489.31 |
| 2023 | 50 | $450.54 |
| 2024 | 77 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 116 | 114 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 102 | 100 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 106 | 102 | $1K |
| D0120 | Periodic oral evaluation - established patient | 29 | 29 | $769.25 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $280.56 |
| D0602 | 142 | 138 | $0.00 |