NPI: 1720552607 · GRAND PRAIRIE, TX 75050 · Dentist · NPI assigned 01/14/2019
Authorized official ZAMORA, MARIBEL controls 20+ related entities in our dataset. Read more
| Authorized Official | ZAMORA, MARIBEL (ENROLLMENT COORDINATOR) |
| NPI Enumeration Date | 01/14/2019 |
Other providers sharing the same authorized official: ZAMORA, MARIBEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| WESTERN DENTAL SERVICES, INC. | HEMET | CA | $4.38M |
| WESTERN DENTAL SERVICES, INC. | OAKLAND | CA | $3.27M |
| WESTERN DENTAL SERVICES, INC. | SAN FRANCISCO | CA | $3.14M |
| WESTERN DENTAL SERVICES, INC | DELANO | CA | $2.51M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.47M |
| WESTERN DENTAL SERVICE, INC | SAN BERNARDINO | CA | $2.35M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.34M |
| WESTERN DENTAL SERVICES, INC. | FULLERTON | CA | $2.30M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.03M |
| WESTERN DENTAL SERVICES, INC. | LONG BEACH | CA | $1.87M |
| BRIDENT DENTAL ASSOCIATES PC | FORT WORTH | TX | $1.78M |
| WESTERN DENTAL SERVICES, INC. | LOS ANGELES | CA | $1.68M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.65M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.64M |
| BRIDENT DENTAL ASSOCIATES PC | PLANO | TX | $1.58M |
| WESTERN DENTAL SERVICES, INC. | STOCKTON | CA | $1.55M |
| BRIDENT DENTAL ASSOCIATES PC | MCKINNEY | TX | $1.53M |
| SOUMAVA SEN, DD, P.C. | HOUSTON | TX | $1.47M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.40M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.36M |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,399 | $25K |
| 2021 | 10,907 | $200K |
| 2022 | 11,756 | $199K |
| 2023 | 10,921 | $183K |
| 2024 | 6,925 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 9,673 | 1,803 | $183K |
| D0145 | Oral evaluation for a patient under three years of age | 1,048 | 1,032 | $117K |
| D0120 | Periodic oral evaluation - established patient | 2,884 | 2,843 | $63K |
| D1120 | Prophylaxis - child | 2,215 | 2,175 | $59K |
| D1110 | Prophylaxis - adult | 1,367 | 1,347 | $53K |
| D0230 | Intraoral - periapical each additional radiographic image | 6,480 | 3,472 | $46K |
| D0274 | Bitewings - four radiographic images | 1,774 | 1,741 | $41K |
| D1206 | Topical application of fluoride varnish | 3,063 | 3,011 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 3,680 | 3,601 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 429 | 218 | $30K |
| D0272 | Bitewings - two radiographic images | 1,251 | 1,233 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 723 | 709 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 667 | 658 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 112 | 111 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 113 | 75 | $6K |
| D0330 | Panoramic radiographic image | 206 | 204 | $2K |
| D1330 | 914 | 900 | $570.10 | |
| D0603 | 4,919 | 4,839 | $18.86 | |
| D0602 | 390 | 387 | $1.96 |