EDINBURG FAMILY DENTISTRY LLC
NPI: 1750718961
· EDINBURG, TX 78540
· General Practice Dentistry
· NPI assigned 10/02/2013
Provider Details
Related Entities
Other providers sharing the same authorized official: VILLARREAL, JUAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
197 |
$4K |
| 2021 |
1,098 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
142 |
140 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
215 |
212 |
$6K |
| D1120 |
Prophylaxis - child |
93 |
93 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
215 |
212 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
252 |
95 |
$2K |
| D0274 |
Bitewings - four radiographic images |
67 |
65 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
126 |
121 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$415.60 |
| D0603 |
|
27 |
27 |
$0.00 |
| D0601 |
|
124 |
123 |
$0.00 |
| D0602 |
|
22 |
22 |
$0.00 |