DENTAL WORLD PLLC
NPI: 1760893721
· ALICE, TX 78332
· Dentist
· NPI assigned 05/13/2014
$277.26
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, TEJASH (DIRECTOR) |
| NPI Enumeration Date | 05/13/2014 |
Related Entities
Other providers sharing the same authorized official: PATEL, TEJASH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$150.22 |
| 2021 |
105 |
$127.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
42 |
40 |
$175.34 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
35 |
12 |
$64.41 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$26.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
26 |
16 |
$11.51 |