NPI: 1861027153 · SAN ANTONIO, TX 78219 · Dentist · NPI assigned 03/06/2020
Authorized official THAKKAR, DHAVAL controls 20+ related entities in our dataset. Read more
| Authorized Official | THAKKAR, DHAVAL (DENTIST/ OWNER) |
| NPI Enumeration Date | 03/06/2020 |
Other providers sharing the same authorized official: THAKKAR, DHAVAL
| Provider | City | State | Total Paid |
|---|---|---|---|
| PORT ARTHUR SMILES INC | PORT ARTHUR | TX | $2.21M |
| ORANGE SMILES INC | WEST ORANGE | TX | $1.78M |
| WILLIS FAMILY DENTAL PLLC | HUMBLE | TX | $1.41M |
| GUN BARREL SMILES PLLC | GUN BARREL CITY | TX | $1.13M |
| HENDERSON SMILES PLLC | HUMBLE | TX | $1.07M |
| MEXIA DENTAL PLLC | MEXIA | TX | $1.01M |
| SANTA FE DENTAL PLLC | HUMBLE | TX | $932K |
| LINDALE SMILES | LINDALE | TX | $664K |
| ALVIN FAMILY DENTAL | ALVIN | TX | $613K |
| 3CDENTAL ORANGE PLLC | ORANGE | TX | $605K |
| POTRANCO SMILES PLLC | HUMBLE | TX | $201K |
| CASTROVILLE DENTAL PLLC | CASTROVILLE | TX | $162K |
| MARBACH SMILES PLLC | SAN ANTONIO, | TX | $159K |
| SHAENFIELD DENTAL PLLC | SAN ANTONIO | TX | $42K |
| CANYON LAKE DENTAL PLLC | CANYON LAKE | TX | $32K |
| GLOSS DENTAL OF ROSENBERG PLLC | ROSENBERG | TX | $29K |
| CAMP BOWIE SMILES PLLC | FORT WORTH | TX | $15K |
| ROSHARON SMILES PLLC | ROSHARON | TX | $12K |
| GLOSS DENTAL | HOUSTON | TX | $837.46 |
| MIDWAY CROSSING SMILES | DALLAS | TX | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 27 | $641.48 |
| 2021 | 109 | $1K |
| 2022 | 729 | $17K |
| 2023 | 794 | $14K |
| 2024 | 777 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 199 | 195 | $5K |
| D1110 | Prophylaxis - adult | 105 | 100 | $5K |
| D1351 | Sealant - per tooth | 201 | 27 | $5K |
| D1120 | Prophylaxis - child | 149 | 144 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 326 | 318 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 58 | 57 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 104 | 100 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 242 | 234 | $3K |
| D0274 | Bitewings - four radiographic images | 85 | 81 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27 | 12 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 237 | 206 | $2K |
| D1206 | Topical application of fluoride varnish | 152 | 147 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 18 | 12 | $1K |
| D0602 | 160 | 154 | $0.00 | |
| D0603 | 373 | 366 | $0.00 |