NPI: 1770992935 · DALLAS, TX 75251 · Dentist · NPI assigned 08/12/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 858 | $185K |
| 2019 | 638 | $128K |
| 2020 | 501 | $50K |
| 2021 | 1,160 | $167K |
| 2022 | 1,769 | $293K |
| 2023 | 2,333 | $422K |
| 2024 | 694 | $134K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 4,767 | 4,644 | $1.11M |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 156 | 156 | $140K |
| D8999 | 2,277 | 2,271 | $97K | |
| D8660 | 217 | 216 | $21K | |
| D8680 | 37 | 37 | $6K | |
| D0330 | Panoramic radiographic image | 212 | 203 | $4K |
| D9310 | 207 | 205 | $4K | |
| D0470 | 18 | 12 | $0.00 | |
| D0340 | 18 | 12 | $0.00 | |
| D1999 | 26 | 21 | $0.00 | |
| D0350 | 18 | 12 | $0.00 |