NPI: 1669667408 · LEAGUE CITY, TX 77573 · General Practice Dentistry · NPI assigned 09/13/2007
| Authorized Official | MAI, MITCHEL (PRESIDENT) |
| NPI Enumeration Date | 09/13/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 703 | $16K |
| 2021 | 5,037 | $122K |
| 2022 | 4,053 | $99K |
| 2023 | 2,580 | $61K |
| 2024 | 897 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,114 | 1,073 | $56K | |
| D0120 | 2,095 | 2,023 | $56K | |
| D1351 | 2,129 | 260 | $48K | |
| D0274 | 1,563 | 1,511 | $47K | |
| D1120 | 1,097 | 1,063 | $37K | |
| D1206 | 1,963 | 1,918 | $27K | |
| D0145 | 149 | 145 | $19K | |
| D2392 | 126 | 70 | $11K | |
| D0272 | 359 | 350 | $8K | |
| D0330 | 226 | 218 | $5K | |
| D0140 | 98 | 93 | $2K | |
| D0150 | 45 | 43 | $1K | |
| D0601 | 2,147 | 2,118 | $48.01 | |
| D0602 | 159 | 153 | $27.00 |