CITY OF HOUSTON
NPI: 1699810309
· HOUSTON, TX 77054
· General Practice Dentistry
· NPI assigned 02/20/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: TRAN CARAPUCCI, THERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
197 |
$2K |
| 2022 |
277 |
$4K |
| 2023 |
276 |
$5K |
| 2024 |
139 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
178 |
178 |
$5K |
| D1120 |
Prophylaxis - child |
127 |
126 |
$4K |
| D1206 |
Topical application of fluoride varnish |
252 |
248 |
$3K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$380.71 |
| D1330 |
|
26 |
25 |
$36.75 |
| D0603 |
|
230 |
224 |
$0.00 |
| D0602 |
|
25 |
25 |
$0.00 |
| D0601 |
|
12 |
12 |
$0.00 |
| D1310 |
|
26 |
25 |
$0.00 |