SANGER DENTAL PLLC

NPI: 1811445000 · SANGER, TX 76266 · General Practice Dentistry · NPI assigned 09/15/2016

$10K

Total Medicaid Paid

862

Total Claims

601

Beneficiaries

Codes Billed

2020-07

First Month

2021-03

Last Month

Provider Details

Authorized Official	IQBAL, SYED (DIRECT OWNER)
NPI Enumeration Date	09/15/2016

Other providers sharing the same authorized official: IQBAL, SYED

Provider	City	State	Total Paid
MINTY SMILES	DUNCANVILLE	TX	$69K
WYLIE SMILES PLLC	WYLIE	TX	$25K
SMILES SO WHITE PLLC	GARLAND	TX	$11K
PIONEER SMILES PLLC	IRVING	TX	$9K
BUDGET SMILES PLLC	GUN BARREL CITY	TX	$6K
GENESEE VALLEY CARDIOLOGY PLLC	DANSVILLE	NY	$5K

Year	Claims	Total Paid
2020	740	$7K
2021	122	$2K

Code	Description	Claims	Beneficiaries	Total Paid
D1351	Sealant - per tooth	88	13	$2K
D0230	Intraoral - periapical each additional radiographic image	262	116	$2K
D0120	Periodic oral evaluation - established patient	66	63	$1K
D0220	Intraoral - periapical first radiographic image	149	137	$1K
D1120	Prophylaxis - child	51	47	$1K
D0145	Oral evaluation for a patient under three years of age	13	12	$1K
D1206	Topical application of fluoride varnish	129	116	$981.96
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	13	12	$162.72
D0603		66	60	$0.00
D0602		25	25	$0.00