NPI: 1861520645 · IRVING, TX 75063 · General Practice Dentistry · NPI assigned 03/01/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 260 | $2K |
| 2022 | 570 | $9K |
| 2023 | 441 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 188 | 185 | $5K |
| D1120 | Prophylaxis - child | 129 | 122 | $4K |
| D1206 | Topical application of fluoride varnish | 341 | 318 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | 33 | 27 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 29 | 27 | $883.00 |
| D1110 | Prophylaxis - adult | 13 | 13 | $658.56 |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $311.49 |
| D0272 | Bitewings - two radiographic images | 16 | 16 | $310.80 |
| D0330 | Panoramic radiographic image | 14 | 13 | $242.04 |
| D0601 | 483 | 456 | $0.00 | |
| D0603 | 12 | 12 | $0.00 |