PATEL, DHRUVKUMAR
NPI: 1669736880
· LEWISVILLE, TX 75077
· General Practice Dentistry
· NPI assigned 07/03/2012
$117.36
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
153 |
$117.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$69.22 |
| D0220 |
Intraoral - periapical first radiographic image |
22 |
22 |
$25.12 |
| D0230 |
Intraoral - periapical each additional radiographic image |
30 |
22 |
$23.02 |
| D1999 |
|
17 |
17 |
$0.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |
| D0603 |
|
23 |
23 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
19 |
19 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$0.00 |