NPI: 1710996376 · BELLAIRE, TX 77401 · Dentist · NPI assigned 08/05/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 39 | $150.72 |
| 2023 | 80 | $802.07 |
| 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 |