NPI: 1720567274 · PEARLAND, TX 77584 · General Practice Dentistry · NPI assigned 08/07/2018
| Authorized Official | DOAN, SOPHIE (MANAGING MEMBER) |
| NPI Enumeration Date | 08/07/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 196 | $2K |
| 2021 | 2,217 | $37K |
| 2022 | 4,063 | $69K |
| 2023 | 3,983 | $77K |
| 2024 | 3,796 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | 5,040 | 1,499 | $45K | |
| D0145 | 301 | 252 | $34K | |
| D0120 | 994 | 940 | $25K | |
| D1120 | 693 | 676 | $24K | |
| D1110 | 491 | 475 | $22K | |
| D1208 | 1,451 | 1,408 | $20K | |
| D0220 | 1,676 | 1,594 | $17K | |
| D2392 | 178 | 83 | $17K | |
| D0274 | 554 | 527 | $14K | |
| D1351 | 349 | 65 | $9K | |
| D0150 | 339 | 322 | $9K | |
| D9230 | 34 | 28 | $894.63 | |
| D0330 | 36 | 35 | $171.87 | |
| D0603 | 583 | 563 | $54.00 | |
| D0602 | 1,509 | 1,491 | $18.20 | |
| D0601 | 27 | 26 | $0.00 |