NPI: 1720746647 · RICHARDSON, TX 75081 · General Practice Dentistry · NPI assigned 12/08/2021
Authorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
| Authorized Official | EVANS, EVERETT (OWNER/DENTIST) |
| NPI Enumeration Date | 12/08/2021 |
Other providers sharing the same authorized official: EVANS, EVERETT
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA DENTAL, PLLC | EL PASO | TX | $8.83M |
| CARRIER DENTAL, PLLC | GRAND PRAIRIE | TX | $8.13M |
| SMILE MAGIC OF EL PASO PLLC | EL PASO | TX | $8.00M |
| SMILE MAGIC OF LEWISVILLE, PLLC | LEWISVILLE | TX | $7.29M |
| SMILE MAGIC OF GARLAND, PLLC | GARLAND | TX | $7.04M |
| NOLANA SMILES, PLLC | MCALLEN | TX | $5.61M |
| SMILE MAGIC OF DENTON, PLLC | DENTON | TX | $4.91M |
| KINGSVILLE DENTAL PLLC | KINGSVILLE | TX | $4.75M |
| PALESTINE DENTAL PLLC | PALESTINE | TX | $3.29M |
| LOWES BOULEVARD FAMILY DENTISTRY, PLLC | KILLEEN | TX | $3.13M |
| HUNTSVILLE DENTAL PLLC | HUNTSVILLE | TX | $2.74M |
| NACOGDOCHES DENTAL PLLC | NACOGDOCHES | TX | $2.70M |
| CARMEL VILLAGE FAMILY DENTISTRY, PLLC | CORPUS CHRISTI | TX | $2.62M |
| GRANDBURY DENTAL , PLLC | GRANBURY | TX | $2.41M |
| SAN DARIO DENTISTRY, PLLC | LAREDO | TX | $1.92M |
| BEAUMONT DENTAL PLLC | BEAUMONT | TX | $1.87M |
| MINERAL WELLS, PLLC | MINERAL WELLS | TX | $1.82M |
| BROWNWOOD DENTAL PLLS | BROWNWOOD | TX | $1.72M |
| DYER FAMILY DENTISTRY, PLLC | EL PASO | TX | $1.57M |
| FAMILY SMILES OF GREENVILLE, PLLC | GREENVILLE | TX | $1.53M |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 855 | $29K |
| 2023 | 1,923 | $46K |
| 2024 | 3,549 | $97K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 503 | 159 | $50K |
| D0145 | Oral evaluation for a patient under three years of age | 272 | 267 | $36K |
| D1120 | Prophylaxis - child | 577 | 556 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 343 | 329 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,122 | 539 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 119 | 40 | $9K |
| D1206 | Topical application of fluoride varnish | 538 | 528 | $7K |
| D0120 | Periodic oral evaluation - established patient | 266 | 258 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 657 | 606 | $6K |
| D0330 | Panoramic radiographic image | 145 | 140 | $4K |
| D0272 | Bitewings - two radiographic images | 284 | 274 | $4K |
| D1351 | Sealant - per tooth | 90 | 24 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 159 | 151 | $2K |
| D0274 | Bitewings - four radiographic images | 67 | 67 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $847.68 |
| D1110 | Prophylaxis - adult | 12 | 12 | $603.68 |
| D0603 | 1,161 | 1,139 | $0.00 |