ITOOTH DENTISTRY, PLLC
NPI: 1730441692
· RICHARDSON, TX 75081
· General Practice Dentistry
· NPI assigned 06/15/2012
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | BUI, SHAWN (PART OWNER) |
| NPI Enumeration Date | 06/15/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
217 |
$3K |
| 2021 |
2,269 |
$37K |
| 2022 |
2,813 |
$49K |
| 2023 |
2,497 |
$42K |
| 2024 |
1,381 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
3,257 |
1,132 |
$36K |
| D0120 |
Periodic oral evaluation - established patient |
1,070 |
1,056 |
$30K |
| D1120 |
Prophylaxis - child |
581 |
578 |
$21K |
| D0274 |
Bitewings - four radiographic images |
579 |
565 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,185 |
1,167 |
$17K |
| D1110 |
Prophylaxis - adult |
291 |
285 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,204 |
1,177 |
$14K |
| D0601 |
|
969 |
955 |
$0.00 |
| D0603 |
|
41 |
40 |
$0.00 |