REPUBLIC DENTAL - PLEASANTON PLLC
NPI: 1730538562
· CARROLLTON, TX 75006
· Dentist
· NPI assigned 06/13/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
$100K
Total Medicaid Paid
Provider Details
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 06/13/2016 |
Related Entities
Other providers sharing the same authorized official: PU, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
234 |
$4K |
| 2021 |
1,995 |
$36K |
| 2022 |
2,263 |
$31K |
| 2023 |
1,727 |
$23K |
| 2024 |
515 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,137 |
1,094 |
$29K |
| D1110 |
Prophylaxis - adult |
334 |
322 |
$15K |
| D1120 |
Prophylaxis - child |
423 |
404 |
$14K |
| D1206 |
Topical application of fluoride varnish |
649 |
632 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
858 |
824 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
492 |
479 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
715 |
660 |
$6K |
| D0274 |
Bitewings - four radiographic images |
217 |
211 |
$6K |
| D1351 |
Sealant - per tooth |
154 |
25 |
$4K |
| D0272 |
Bitewings - two radiographic images |
152 |
147 |
$3K |
| D0330 |
Panoramic radiographic image |
26 |
25 |
$293.37 |
| D0603 |
|
1,577 |
1,535 |
$0.00 |