SD-HWY 78 PC
NPI: 1821549130
· SAN ANTONIO, TX 78244
· General Practice Dentistry
· NPI assigned 10/21/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official PHAM, LYNHTHY controls 20+ related entities in our dataset. Read more
Provider Details
| Authorized Official | PHAM, LYNHTHY (PRESIDENT) |
| NPI Enumeration Date | 10/21/2016 |
Related Entities
Other providers sharing the same authorized official: PHAM, LYNHTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,250 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
275 |
28 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
177 |
175 |
$2K |
| D1110 |
Prophylaxis - adult |
42 |
42 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
226 |
172 |
$2K |
| D0274 |
Bitewings - four radiographic images |
69 |
69 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
190 |
186 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
56 |
53 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
43 |
$1K |
| D1120 |
Prophylaxis - child |
30 |
30 |
$918.75 |
| D0330 |
Panoramic radiographic image |
28 |
28 |
$409.04 |
| D0603 |
|
70 |
66 |
$0.09 |
| D0602 |
|
44 |
44 |
$0.06 |