DOWNTOWN DENTAL, PLLC
NPI: 1679802714
· HONDO, TX 78861
· General Practice Dentistry
· NPI assigned 12/21/2009
Provider Details
| Authorized Official | JACOBS, STACEY (OWNER/PRESIDENT) |
| NPI Enumeration Date | 12/21/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
35 |
$432.75 |
| 2021 |
1,013 |
$18K |
| 2022 |
928 |
$18K |
| 2023 |
949 |
$18K |
| 2024 |
816 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
888 |
868 |
$25K |
| D1120 |
Prophylaxis - child |
473 |
464 |
$17K |
| D1206 |
Topical application of fluoride varnish |
554 |
539 |
$8K |
| D1110 |
Prophylaxis - adult |
116 |
114 |
$6K |
| D0272 |
Bitewings - two radiographic images |
266 |
262 |
$6K |
| D0274 |
Bitewings - four radiographic images |
156 |
154 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
88 |
87 |
$1K |
| D1351 |
Sealant - per tooth |
47 |
12 |
$1K |
| D0603 |
|
1,153 |
1,140 |
$0.00 |