1521 W UNIVERSITY RD PLLC

NPI: 1801510748 · MCKINNEY, TX 75069 · General Practice Dentistry · NPI assigned 10/03/2022

$15K

Total Medicaid Paid

1,128

Total Claims

1,007

Beneficiaries

Codes Billed

2023-02

First Month

2024-06

Last Month

Provider Details

Authorized Official	DHIR, GUNJAN (OWNER)
NPI Enumeration Date	10/03/2022

Other providers sharing the same authorized official: DHIR, GUNJAN

Provider	City	State	Total Paid
LIVINGSTON SMILES PLLC	LIVINGSTON	TX	$1.64M
PAMPA DENTAL PLLC	PAMPA	TX	$1.52M
HEREFORD DENTAL PLLC	HEREFORD	TX	$1.34M
A1 DENTAL PLLC	LAMPASAS	TX	$978K
DENTAL TRENDS PLLC	KERRVILLE	TX	$635K
BURK SMILES PLLC	BURKBURNETT	TX	$272K
ALTIUS DENTAL 2 PLLC	KINGSVILLE	TX	$29K

Year	Claims	Total Paid
2023	926	$13K
2024	202	$2K

Code	Description	Claims	Beneficiaries	Total Paid
D0230	Intraoral - periapical each additional radiographic image	329	224	$3K
D0220	Intraoral - periapical first radiographic image	256	247	$3K
D1206	Topical application of fluoride varnish	191	188	$3K
D0274	Bitewings - four radiographic images	58	58	$2K
D1120	Prophylaxis - child	46	45	$1K
D0120	Periodic oral evaluation - established patient	48	48	$1K
D0150	Comprehensive oral evaluation - new or established patient	30	29	$985.43
D1110	Prophylaxis - adult	12	12	$658.56
D0602		88	86	$0.00
D0603		70	70	$0.00