NPI: 1760854673 · KATY, TX 77449 · Dental Clinic/Center · NPI assigned 10/30/2015
| Authorized Official | PALUK, SERGIO (DENTIST) |
| NPI Enumeration Date | 10/30/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 110 | $2K |
| 2021 | 450 | $6K |
| 2022 | 265 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 136 | 131 | $4K |
| D1120 | Prophylaxis - child | 83 | 80 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 143 | 139 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 116 | 111 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 140 | 134 | $1K |
| D0272 | Bitewings - two radiographic images | 27 | 26 | $584.50 |
| D0601 | 180 | 178 | $0.00 |