NPI: 1760701833 · EAGLE PASS, TX 78852 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,987 | $87K |
| 2021 | 1,163 | $37K |
| 2023 | 8,083 | $234K |
| 2024 | 4,523 | $142K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | 1,335 | 641 | $97K | |
| D2392 | 961 | 487 | $92K | |
| D1120 | 1,106 | 1,098 | $39K | |
| D1351 | 1,354 | 463 | $35K | |
| D0145 | 242 | 242 | $33K | |
| D0230 | 2,913 | 1,323 | $32K | |
| D0120 | 1,012 | 1,009 | $29K | |
| D1110 | 529 | 528 | $27K | |
| D1208 | 1,649 | 1,637 | $23K | |
| D0150 | 612 | 606 | $20K | |
| D0220 | 1,393 | 1,380 | $17K | |
| D0210 | 237 | 237 | $16K | |
| D9230 | 561 | 538 | $14K | |
| D0274 | 419 | 417 | $14K | |
| D0272 | 441 | 438 | $10K | |
| D0330 | 31 | 31 | $2K | |
| D0140 | 12 | 12 | $169.02 | |
| D9986 | 15 | 14 | $0.00 | |
| D0603 | 1,934 | 1,927 | $0.00 |