DENTAL AVENUE, P.A.
NPI: 1750488748
· RICHARDSON, TX 75080
· General Practice Dentistry
· NPI assigned 09/20/2006
Provider Details
| Authorized Official | SOO, EMILY (PRESIDENT) |
| NPI Enumeration Date | 09/20/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
50 |
$1K |
| 2022 |
134 |
$3K |
| 2023 |
51 |
$693.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
88 |
87 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
89 |
88 |
$1K |
| D0274 |
Bitewings - four radiographic images |
26 |
25 |
$865.25 |
| D0603 |
|
32 |
32 |
$0.00 |