NPI: 1821616210 · LIVINGSTON, TX 77351 · General Practice Dentistry · NPI assigned 07/11/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 76 | $2K |
| 2021 | 447 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 151 | 146 | $4K |
| D1110 | Prophylaxis - adult | 74 | 73 | $4K |
| D1120 | Prophylaxis - child | 111 | 107 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 53 | 51 | $2K |
| D0603 | 14 | 13 | $0.00 | |
| D0601 | 94 | 88 | $0.00 | |
| D0602 | 26 | 26 | $0.00 |