NPI: 1700472099 · HOUSTON, TX 77074 · General Practice Dentistry · NPI assigned 12/21/2020
Authorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
| Authorized Official | EVANS, EVERETT (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 12/21/2020 |
Other providers sharing the same authorized official: EVANS, EVERETT
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA DENTAL, PLLC | EL PASO | TX | $8.83M |
| CARRIER DENTAL, PLLC | GRAND PRAIRIE | TX | $8.13M |
| SMILE MAGIC OF EL PASO PLLC | EL PASO | TX | $8.00M |
| SMILE MAGIC OF LEWISVILLE, PLLC | LEWISVILLE | TX | $7.29M |
| SMILE MAGIC OF GARLAND, PLLC | GARLAND | TX | $7.04M |
| NOLANA SMILES, PLLC | MCALLEN | TX | $5.61M |
| SMILE MAGIC OF DENTON, PLLC | DENTON | TX | $4.91M |
| KINGSVILLE DENTAL PLLC | KINGSVILLE | TX | $4.75M |
| PALESTINE DENTAL PLLC | PALESTINE | TX | $3.29M |
| LOWES BOULEVARD FAMILY DENTISTRY, PLLC | KILLEEN | TX | $3.13M |
| HUNTSVILLE DENTAL PLLC | HUNTSVILLE | TX | $2.74M |
| NACOGDOCHES DENTAL PLLC | NACOGDOCHES | TX | $2.70M |
| CARMEL VILLAGE FAMILY DENTISTRY, PLLC | CORPUS CHRISTI | TX | $2.62M |
| GRANDBURY DENTAL , PLLC | GRANBURY | TX | $2.41M |
| SAN DARIO DENTISTRY, PLLC | LAREDO | TX | $1.92M |
| BEAUMONT DENTAL PLLC | BEAUMONT | TX | $1.87M |
| MINERAL WELLS, PLLC | MINERAL WELLS | TX | $1.82M |
| BROWNWOOD DENTAL PLLS | BROWNWOOD | TX | $1.72M |
| DYER FAMILY DENTISTRY, PLLC | EL PASO | TX | $1.57M |
| FAMILY SMILES OF GREENVILLE, PLLC | GREENVILLE | TX | $1.53M |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 160 | $2K |
| 2022 | 7,726 | $245K |
| 2023 | 11,817 | $327K |
| 2024 | 9,313 | $198K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 1,160 | 1,126 | $155K |
| D1351 | Sealant - per tooth | 4,161 | 729 | $107K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,066 | 402 | $101K |
| D1120 | Prophylaxis - child | 2,315 | 2,188 | $74K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 618 | 306 | $47K |
| D0120 | Periodic oral evaluation - established patient | 1,781 | 1,664 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 2,809 | 2,638 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,136 | 1,069 | $36K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,573 | 2,055 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 2,433 | 2,249 | $26K |
| D1110 | Prophylaxis - adult | 566 | 525 | $25K |
| D0272 | Bitewings - two radiographic images | 1,622 | 1,536 | $25K |
| D0330 | Panoramic radiographic image | 595 | 564 | $20K |
| D0274 | Bitewings - four radiographic images | 655 | 616 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 88 | 88 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 44 | 12 | $5K |
| D9248 | 41 | 40 | $4K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 121 | 116 | $3K |
| D1206 | Topical application of fluoride varnish | 68 | 67 | $749.70 |
| D0603 | 4,164 | 4,064 | $0.00 |