NPI: 1780158881 · FORT WORTH, TX 76103 · Dentist · NPI assigned 01/11/2019
Authorized official ZAMORA, MARIBEL controls 20+ related entities in our dataset. Read more
| Authorized Official | ZAMORA, MARIBEL (ENROLLMENT COORDINATOR) |
| NPI Enumeration Date | 01/11/2019 |
Other providers sharing the same authorized official: ZAMORA, MARIBEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| WESTERN DENTAL SERVICES, INC. | HEMET | CA | $4.38M |
| WESTERN DENTAL SERVICES, INC. | OAKLAND | CA | $3.27M |
| WESTERN DENTAL SERVICES, INC. | SAN FRANCISCO | CA | $3.14M |
| WESTERN DENTAL SERVICES, INC | DELANO | CA | $2.51M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.47M |
| WESTERN DENTAL SERVICE, INC | SAN BERNARDINO | CA | $2.35M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.34M |
| WESTERN DENTAL SERVICES, INC. | FULLERTON | CA | $2.30M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.03M |
| WESTERN DENTAL SERVICES, INC. | LONG BEACH | CA | $1.87M |
| BRIDENT DENTAL ASSOCIATES PC | FORT WORTH | TX | $1.78M |
| WESTERN DENTAL SERVICES, INC. | LOS ANGELES | CA | $1.68M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.65M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.64M |
| BRIDENT DENTAL ASSOCIATES PC | PLANO | TX | $1.58M |
| WESTERN DENTAL SERVICES, INC. | STOCKTON | CA | $1.55M |
| BRIDENT DENTAL ASSOCIATES PC | MCKINNEY | TX | $1.53M |
| SOUMAVA SEN, DD, P.C. | HOUSTON | TX | $1.47M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.40M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.36M |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $0.00 |
| 2020 | 1,074 | $14K |
| 2021 | 15,395 | $252K |
| 2022 | 13,807 | $235K |
| 2023 | 12,675 | $229K |
| 2024 | 9,949 | $176K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 6,347 | 1,302 | $124K |
| D0145 | Oral evaluation for a patient under three years of age | 1,126 | 1,110 | $116K |
| D0120 | Periodic oral evaluation - established patient | 4,706 | 4,477 | $100K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,357 | 617 | $99K |
| D1120 | Prophylaxis - child | 3,394 | 3,249 | $86K |
| D1110 | Prophylaxis - adult | 1,878 | 1,794 | $71K |
| D0230 | Intraoral - periapical each additional radiographic image | 8,908 | 5,332 | $62K |
| D1206 | Topical application of fluoride varnish | 5,313 | 5,081 | $53K |
| D0274 | Bitewings - four radiographic images | 2,176 | 2,076 | $48K |
| D0220 | Intraoral - periapical first radiographic image | 5,784 | 5,491 | $46K |
| D0272 | Bitewings - two radiographic images | 2,508 | 2,394 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,247 | 1,179 | $31K |
| D0210 | Intraoral - complete series of radiographic images | 197 | 194 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 178 | 100 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 384 | 343 | $7K |
| D0330 | Panoramic radiographic image | 151 | 140 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 125 | 122 | $1K |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $159.63 |
| D0602 | 3,570 | 3,481 | $4.11 | |
| D0603 | 3,136 | 3,005 | $1.39 | |
| D0601 | 402 | 287 | $0.04 | |
| D1330 | 15 | 15 | $0.00 |