BUI, HOA
NPI: 1710996376
· BELLAIRE, TX 77401
· Dentist
· NPI assigned 08/05/2006
$952.79
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
39 |
$150.72 |
| 2023 |
80 |
$802.07 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$346.20 |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
24 |
$288.88 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$191.10 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$126.61 |
| D0601 |
|
57 |
54 |
$0.00 |