LONE STAR DENTISTRY CLINIC PC
NPI: 1811147986
· DALLAS, TX 75203
· General Practice Dentistry
· NPI assigned 09/25/2008
Provider Details
| Authorized Official | QUACH, BAO (OWNER) |
| NPI Enumeration Date | 09/25/2008 |
Related Entities
Other providers sharing the same authorized official: QUACH, BAO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
200 |
$3K |
| 2021 |
1,198 |
$19K |
| 2022 |
943 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
373 |
356 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
604 |
375 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
389 |
372 |
$5K |
| D1110 |
Prophylaxis - adult |
96 |
92 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
401 |
384 |
$4K |
| D0274 |
Bitewings - four radiographic images |
92 |
89 |
$3K |
| D1120 |
Prophylaxis - child |
81 |
76 |
$3K |
| D0330 |
Panoramic radiographic image |
20 |
19 |
$738.38 |
| D0272 |
Bitewings - two radiographic images |
14 |
13 |
$303.94 |
| D0602 |
|
271 |
257 |
$0.00 |