NPI: 1760559744 · TULIA, TX 79088 · Dentist · NPI assigned 11/29/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 192 | $4K |
| 2021 | 2,468 | $55K |
| 2022 | 1,954 | $45K |
| 2023 | 282 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,029 | 1,010 | $29K |
| D1110 | Prophylaxis - adult | 452 | 445 | $24K |
| D1120 | Prophylaxis - child | 603 | 591 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 1,079 | 1,058 | $15K |
| D1351 | Sealant - per tooth | 397 | 49 | $11K |
| D0274 | Bitewings - four radiographic images | 165 | 162 | $5K |
| D0272 | Bitewings - two radiographic images | 121 | 119 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 102 | 95 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 15 | 12 | $150.72 |
| D0603 | 277 | 273 | $0.00 | |
| D0602 | 656 | 643 | $0.00 |