KP DDS PLLC
NPI: 1760728489
· KATY, TX 77449
· Dentist
· NPI assigned 12/28/2012
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAN, KEVIN (PRESIDENT) |
| NPI Enumeration Date | 12/28/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
163 |
$2K |
| 2021 |
2,308 |
$41K |
| 2022 |
2,294 |
$38K |
| 2023 |
1,550 |
$24K |
| 2024 |
690 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
891 |
882 |
$25K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,951 |
842 |
$21K |
| D1120 |
Prophylaxis - child |
485 |
481 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
954 |
940 |
$14K |
| D1351 |
Sealant - per tooth |
396 |
64 |
$11K |
| D0220 |
Intraoral - periapical first radiographic image |
916 |
896 |
$11K |
| D0274 |
Bitewings - four radiographic images |
306 |
303 |
$9K |
| D1110 |
Prophylaxis - adult |
121 |
119 |
$6K |
| D0330 |
Panoramic radiographic image |
27 |
27 |
$1K |
| D0601 |
|
945 |
930 |
$0.00 |
| D0603 |
|
13 |
13 |
$0.00 |