NPI: 1720705387 · FORT WORTH, TX 76109 · Dental Clinic/Center · NPI assigned 10/25/2022
Authorized official RICE, JO ANN controls 13+ related entities in our dataset. Read more
| Authorized Official | RICE, JO ANN (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 10/25/2022 |
Other providers sharing the same authorized official: RICE, JO ANN
| Provider | City | State | Total Paid |
|---|---|---|---|
| DENTISTRY FOR CHILDREN OF SOUTH CAROLINA, PC | CHARLESTON | SC | $68.46M |
| DENTISTRY FOR CHILDREN OF MARYLAND, LLC | LAUREL | MD | $2.76M |
| DENTISTRY FOR CHILDREN OF MARYLAND, LLC | ASHTON | MD | $1.82M |
| DENTISTRY FOR CHILDREN OF MARYLAND, LLC | COLUMBIA | MD | $1.65M |
| SPECIALIST IN ORTHODONTICS OF MARYLAND, LLC | POTOMAC | MD | $89K |
| ORAL SURGERY OF MARYLAND, LLC JEROME CASPER SOLE MBR | BALTIMORE | MD | $46K |
| SPECIALISTS IN ORTHODONTICS OF MARYLAND, LLC | LAUREL | MD | $42K |
| FAMILY ORTHODONTICS OF MARYLAND LLC | UPPER MARLBORO | MD | $20K |
| DENTISTRY FOR CHILDREN OF MARYLAND, LLC | LA PLATA | MD | $16K |
| DENTISTRY FOR CHILDREN OF FLORIDA, PLLC | PALM BEACH GARDENS | FL | $14K |
| FAMILY ORTHODONTICS OF MARYLAND LLC | LA PLATA | MD | $7K |
| DENTISTRY FOR CHILDREN OF MARYLAND, LLC | LAUREL | MD | $1K |
| DENTISTRY FOR CHILDREN OF MARYLAND, LLC | FT WASHINGTON | MD | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,251 | $41K |
| 2024 | 8,939 | $171K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,975 | 1,943 | $54K |
| D1120 | Prophylaxis - child | 1,523 | 1,492 | $52K |
| D1208 | Topical application of fluoride, excluding varnish | 1,870 | 1,841 | $26K |
| D0272 | Bitewings - two radiographic images | 1,034 | 1,010 | $22K |
| D1110 | Prophylaxis - adult | 360 | 357 | $19K |
| D1351 | Sealant - per tooth | 397 | 63 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 734 | 689 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 273 | 250 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 416 | 380 | $4K |
| D0274 | Bitewings - four radiographic images | 127 | 127 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | 15 | 15 | $2K |
| D0330 | Panoramic radiographic image | 34 | 33 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16 | 13 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 37 | 37 | $1K |
| D0603 | 2,379 | 2,354 | $0.00 |