NPI: 1851412738 · IRVING, TX 75060 · Dentist · NPI assigned 04/02/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $0.00 |
| 2021 | 619 | $7K |
| 2022 | 545 | $9K |
| 2023 | 185 | $2K |
| 2024 | 217 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 345 | 331 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 425 | 412 | $6K |
| D1120 | Prophylaxis - child | 84 | 80 | $3K |
| D1110 | Prophylaxis - adult | 25 | 25 | $1K |
| D0274 | Bitewings - four radiographic images | 42 | 42 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 43 | 42 | $485.58 |
| D0230 | Intraoral - periapical each additional radiographic image | 24 | 15 | $264.73 |
| D0603 | 590 | 569 | $0.00 |