NPI: 1821471061 · ENNIS, TX 75119 · General Practice Dentistry · NPI assigned 07/07/2015
Authorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
| Authorized Official | EVANS, EVERETT (DDS, OWNER) |
| NPI Enumeration Date | 07/07/2015 |
Other providers sharing the same authorized official: EVANS, EVERETT
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA DENTAL, PLLC | EL PASO | TX | $8.83M |
| CARRIER DENTAL, PLLC | GRAND PRAIRIE | TX | $8.13M |
| SMILE MAGIC OF EL PASO PLLC | EL PASO | TX | $8.00M |
| SMILE MAGIC OF LEWISVILLE, PLLC | LEWISVILLE | TX | $7.29M |
| SMILE MAGIC OF GARLAND, PLLC | GARLAND | TX | $7.04M |
| NOLANA SMILES, PLLC | MCALLEN | TX | $5.61M |
| SMILE MAGIC OF DENTON, PLLC | DENTON | TX | $4.91M |
| KINGSVILLE DENTAL PLLC | KINGSVILLE | TX | $4.75M |
| PALESTINE DENTAL PLLC | PALESTINE | TX | $3.29M |
| LOWES BOULEVARD FAMILY DENTISTRY, PLLC | KILLEEN | TX | $3.13M |
| HUNTSVILLE DENTAL PLLC | HUNTSVILLE | TX | $2.74M |
| NACOGDOCHES DENTAL PLLC | NACOGDOCHES | TX | $2.70M |
| CARMEL VILLAGE FAMILY DENTISTRY, PLLC | CORPUS CHRISTI | TX | $2.62M |
| GRANDBURY DENTAL , PLLC | GRANBURY | TX | $2.41M |
| SAN DARIO DENTISTRY, PLLC | LAREDO | TX | $1.92M |
| BEAUMONT DENTAL PLLC | BEAUMONT | TX | $1.87M |
| MINERAL WELLS, PLLC | MINERAL WELLS | TX | $1.82M |
| BROWNWOOD DENTAL PLLS | BROWNWOOD | TX | $1.72M |
| DYER FAMILY DENTISTRY, PLLC | EL PASO | TX | $1.57M |
| FAMILY SMILES OF GREENVILLE, PLLC | GREENVILLE | TX | $1.53M |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 948 | $20K |
| 2021 | 9,993 | $294K |
| 2022 | 7,304 | $183K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,051 | 511 | $96K |
| D0145 | Oral evaluation for a patient under three years of age | 575 | 560 | $77K |
| D0120 | Periodic oral evaluation - established patient | 1,788 | 1,709 | $47K |
| D1120 | Prophylaxis - child | 1,226 | 1,175 | $41K |
| D1110 | Prophylaxis - adult | 751 | 703 | $36K |
| D1351 | Sealant - per tooth | 1,321 | 276 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 403 | 235 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,786 | 1,452 | $28K |
| D0274 | Bitewings - four radiographic images | 901 | 854 | $26K |
| D1206 | Topical application of fluoride varnish | 1,719 | 1,637 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 1,695 | 1,567 | $18K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 132 | 70 | $12K |
| D0330 | Panoramic radiographic image | 331 | 314 | $12K |
| D0272 | Bitewings - two radiographic images | 446 | 416 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 237 | 215 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 180 | 158 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 117 | 109 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $847.68 |
| D0603 | 2,574 | 2,509 | $0.00 |