NPI: 1699281782 · TYLER, TX 75701 · Pediatric Dentist · NPI assigned 12/27/2017
Authorized official AGUILAR, ALYSSA controls 11+ related entities in our dataset. Read more
| Authorized Official | AGUILAR, ALYSSA (DIRECTOR OF REVENUE & CREDENTIALING) |
| NPI Enumeration Date | 12/27/2017 |
Other providers sharing the same authorized official: AGUILAR, ALYSSA
| Provider | City | State | Total Paid |
|---|---|---|---|
| IKIDS PEDIATRIC DENTISTRY ARLINGTON | ARLINGTON | TX | $1.05M |
| IKIDS PEDIATRIC DENTISTRY FORT WORTH, P.C. | FORT WORTH | TX | $948K |
| IKIDS PEDIATRIC DENTISTRY AND ORTHODONTICS NFW | FORT WORTH | TX | $856K |
| IKIDS PEDIATRIC DENTISTRY BURLESON, PLLC | BURLESON | TX | $769K |
| IKIDS PEDIATRIC DENTISTRY, PC | MANSFIELD | TX | $518K |
| IKIDS PEDIATRIC DENTISTRY ENNIS, PLLC | ENNIS | TX | $432K |
| IKIDS PEDIATRIC DENTISTRY CEDAR HILL, PLLC | CEDAR HILL | TX | $410K |
| IKIDS PEDIATRIC DENTISTRY DENTON, PLLC | DENTON | TX | $263K |
| IKIDS PEDIATRIC DENTISTRY WAXAHACHIE PLLC | WAXAHACHIE | TX | $179K |
| IKIDS PEDIATRIC DENTISTRY VIRIDIAN, PLLC | ARLINGTON | TX | $121K |
| IKIDS PEDIATRIC DENTISTRY LAKEWOOD, PLLC | DALLAS | TX | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 319 | $4K |
| 2021 | 5,816 | $145K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 292 | 291 | $36K |
| D1120 | Prophylaxis - child | 568 | 550 | $19K |
| D1351 | Sealant - per tooth | 753 | 119 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 326 | 319 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 164 | 161 | $11K |
| D0120 | Periodic oral evaluation - established patient | 330 | 323 | $9K |
| D1206 | Topical application of fluoride varnish | 637 | 618 | $9K |
| D0272 | Bitewings - two radiographic images | 346 | 324 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 599 | 547 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 204 | 192 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 95 | 57 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 538 | 440 | $5K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 21 | 12 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 39 | 25 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 26 | 17 | $2K |
| D1999 | 159 | 152 | $20.00 | |
| D0603 | 1,038 | 997 | $0.00 |