CALTEX DENTAL
NPI: 1770859464
· HOUSTON, TX 77084
· General Practice Dentistry
· NPI assigned 03/27/2012
Provider Details
| Authorized Official | VO, PHUONG (CEO) |
| Parent Organization | CALTEX DENTAL PA |
| NPI Enumeration Date | 03/27/2012 |
Related Entities
Other providers sharing the same authorized official: VO, PHUONG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$503.75 |
| 2021 |
462 |
$6K |
| 2022 |
184 |
$2K |
| 2023 |
48 |
$696.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
177 |
176 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
230 |
227 |
$3K |
| D1120 |
Prophylaxis - child |
25 |
25 |
$918.75 |
| D1330 |
|
214 |
213 |
$12.25 |
| D0601 |
|
72 |
72 |
$0.00 |