NPI: 1770729386 · FORT WORTH, TX 76112 · General Practice Dentistry · NPI assigned 01/02/2009
Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PHAN, TIEN (VP) |
| NPI Enumeration Date | 01/02/2009 |
Other providers sharing the same authorized official: PHAN, TIEN
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,268 | $41K |
| 2021 | 5,912 | $194K |
| 2022 | 5,822 | $196K |
| 2023 | 3,939 | $118K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,019 | 767 | $171K |
| D1351 | Sealant - per tooth | 2,240 | 415 | $52K |
| D0145 | Oral evaluation for a patient under three years of age | 390 | 389 | $50K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 745 | 385 | $48K |
| D0120 | Periodic oral evaluation - established patient | 1,745 | 1,706 | $47K |
| D1110 | Prophylaxis - adult | 884 | 863 | $43K |
| D1120 | Prophylaxis - child | 1,128 | 1,104 | $38K |
| D0274 | Bitewings - four radiographic images | 1,103 | 1,078 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 1,812 | 1,771 | $25K |
| D0272 | Bitewings - two radiographic images | 684 | 673 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 426 | 415 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 639 | 612 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 573 | 511 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 24 | 23 | $1K |
| D0330 | Panoramic radiographic image | 18 | 17 | $671.36 |
| D0603 | 1,791 | 1,767 | $0.00 | |
| D0601 | 669 | 661 | $0.00 | |
| D0602 | 51 | 43 | $0.00 |