NPI: 1780190918 · ARLINGTON, TX 76017 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 365 | $12K |
| 2021 | 1,972 | $53K |
| 2022 | 1,963 | $49K |
| 2023 | 1,257 | $17K |
| 2024 | 1,084 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 583 | 202 | $54K | |
| D1120 | 532 | 507 | $17K | |
| D0120 | 476 | 454 | $13K | |
| D1208 | 887 | 848 | $12K | |
| D0272 | 510 | 485 | $11K | |
| D0220 | 971 | 922 | $8K | |
| D1351 | 336 | 72 | $7K | |
| D0230 | 910 | 869 | $7K | |
| D2391 | 84 | 40 | $6K | |
| D0150 | 173 | 170 | $6K | |
| D0330 | 110 | 108 | $4K | |
| D1110 | 39 | 37 | $2K | |
| D0274 | 39 | 37 | $1K | |
| D0603 | 972 | 933 | $0.00 | |
| D0601 | 19 | 19 | $0.00 |