NPI: 1760728489 · KATY, TX 77449 · Dentist · NPI assigned 12/28/2012
| Authorized Official | PHAN, KEVIN (PRESIDENT) |
| NPI Enumeration Date | 12/28/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 163 | $2K |
| 2021 | 2,308 | $41K |
| 2022 | 2,294 | $38K |
| 2023 | 1,550 | $24K |
| 2024 | 690 | $10K |
| 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 |