AB DENTAL KATY
NPI: 1740862077
· HOUSTON, TX 77058
· General Practice Dentistry
· NPI assigned 04/26/2021
Provider Details
| Authorized Official | ABOSEDE, FUNMI (OWNER) |
| NPI Enumeration Date | 04/26/2021 |
Related Entities
Other providers sharing the same authorized official: ABOSEDE, FUNMI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
302 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
28 |
15 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
62 |
59 |
$2K |
| D1120 |
Prophylaxis - child |
46 |
44 |
$1K |
| D1206 |
Topical application of fluoride varnish |
54 |
53 |
$690.90 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$603.68 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$387.57 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$327.32 |
| D0603 |
|
68 |
66 |
$0.00 |