NPI: 1851309934 · PEARLAND, TX 77584 · Dentist · NPI assigned 08/04/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 477 | $11K |
| 2022 | 624 | $11K |
| 2023 | 98 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 283 | 261 | $7K |
| D1120 | Prophylaxis - child | 172 | 164 | $6K |
| D1206 | Topical application of fluoride varnish | 299 | 286 | $4K |
| D1110 | Prophylaxis - adult | 59 | 55 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 225 | 75 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 93 | 87 | $1K |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $380.71 |
| D0602 | 25 | 25 | $0.00 | |
| D0601 | 31 | 31 | $0.00 |