NPI: 1861088130 · DALLAS, TX 75238 · General Practice Dentistry · NPI assigned 12/21/2020
Authorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
| Authorized Official | EVANS, EVERETT (OWNER/DENTIST) |
| NPI Enumeration Date | 12/21/2020 |
Other providers sharing the same authorized official: EVANS, EVERETT
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA DENTAL, PLLC | EL PASO | TX | $8.83M |
| CARRIER DENTAL, PLLC | GRAND PRAIRIE | TX | $8.13M |
| SMILE MAGIC OF EL PASO PLLC | EL PASO | TX | $8.00M |
| SMILE MAGIC OF LEWISVILLE, PLLC | LEWISVILLE | TX | $7.29M |
| SMILE MAGIC OF GARLAND, PLLC | GARLAND | TX | $7.04M |
| NOLANA SMILES, PLLC | MCALLEN | TX | $5.61M |
| SMILE MAGIC OF DENTON, PLLC | DENTON | TX | $4.91M |
| KINGSVILLE DENTAL PLLC | KINGSVILLE | TX | $4.75M |
| PALESTINE DENTAL PLLC | PALESTINE | TX | $3.29M |
| LOWES BOULEVARD FAMILY DENTISTRY, PLLC | KILLEEN | TX | $3.13M |
| HUNTSVILLE DENTAL PLLC | HUNTSVILLE | TX | $2.74M |
| NACOGDOCHES DENTAL PLLC | NACOGDOCHES | TX | $2.70M |
| CARMEL VILLAGE FAMILY DENTISTRY, PLLC | CORPUS CHRISTI | TX | $2.62M |
| GRANDBURY DENTAL , PLLC | GRANBURY | TX | $2.41M |
| SAN DARIO DENTISTRY, PLLC | LAREDO | TX | $1.92M |
| BEAUMONT DENTAL PLLC | BEAUMONT | TX | $1.87M |
| MINERAL WELLS, PLLC | MINERAL WELLS | TX | $1.82M |
| BROWNWOOD DENTAL PLLS | BROWNWOOD | TX | $1.72M |
| DYER FAMILY DENTISTRY, PLLC | EL PASO | TX | $1.57M |
| FAMILY SMILES OF GREENVILLE, PLLC | GREENVILLE | TX | $1.53M |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,154 | $28K |
| 2022 | 3,946 | $105K |
| 2023 | 3,715 | $97K |
| 2024 | 263 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 615 | 603 | $84K |
| D1120 | Prophylaxis - child | 809 | 795 | $28K |
| D1351 | Sealant - per tooth | 690 | 131 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 463 | 452 | $15K |
| D0120 | Periodic oral evaluation - established patient | 527 | 517 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 1,015 | 996 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,209 | 736 | $13K |
| D0272 | Bitewings - two radiographic images | 649 | 642 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 807 | 789 | $9K |
| D1110 | Prophylaxis - adult | 137 | 135 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 48 | 13 | $7K |
| D0330 | Panoramic radiographic image | 177 | 172 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23 | 12 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 30 | 12 | $2K |
| D0274 | Bitewings - four radiographic images | 65 | 65 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 25 | 25 | $677.75 |
| D1206 | Topical application of fluoride varnish | 14 | 14 | $205.80 |
| D0603 | 1,775 | 1,748 | $0.05 |