MIMS, IRA
NPI: 1811329279
· LEWISVILLE, TX 75067
· Dentist
· NPI assigned 08/07/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
45 |
$528.47 |
| 2022 |
147 |
$2K |
| 2023 |
25 |
$170.52 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
55 |
53 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
69 |
68 |
$898.17 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$581.72 |
| D0602 |
|
81 |
78 |
$0.00 |