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AFFORDABLE DENTIST NEAR ME IN WACO PLLC
AFFORDABLE DENTIST NEAR ME IN WACO PLLC
NPI: 1760842587
· WACO, TX 76710
· General Practice Dentistry
· NPI assigned 03/07/2016
Provider Details
| Authorized Official | PHAM, TRI (SOLE OWNER) |
| NPI Enumeration Date | 03/07/2016 |
Related Entities
Other providers sharing the same authorized official: PHAM, TRI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
99 |
$582.44 |
| 2022 |
362 |
$2K |
| 2023 |
316 |
$2K |
| 2024 |
458 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
79 |
74 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
144 |
135 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
71 |
64 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
29 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
28 |
$916.42 |
| D0330 |
Panoramic radiographic image |
43 |
42 |
$643.04 |
| D1110 |
Prophylaxis - adult |
14 |
13 |
$611.04 |
| D0220 |
Intraoral - periapical first radiographic image |
56 |
52 |
$232.44 |
| D0180 |
|
15 |
14 |
$162.72 |
| D0230 |
Intraoral - periapical each additional radiographic image |
68 |
24 |
$129.44 |
| D0603 |
|
686 |
569 |
$27.59 |