NPI: 1861712093 · ODESSA, TX 79761 · Dental Clinic/Center · NPI assigned 06/10/2010
Authorized official TAYLOR, BRANDON controls 20+ related entities in our dataset. Read more
| Authorized Official | TAYLOR, BRANDON (CREDENTIALING PAYER RELATIONS MGR) |
| NPI Enumeration Date | 06/10/2010 |
Other providers sharing the same authorized official: TAYLOR, BRANDON
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 5,516 | $62K |
| 2021 | 27,001 | $412K |
| 2022 | 23,134 | $438K |
| 2023 | 17,743 | $351K |
| 2024 | 8,948 | $187K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 14,252 | 1,990 | $291K |
| D1110 | Prophylaxis - adult | 4,335 | 3,969 | $186K |
| D0120 | Periodic oral evaluation - established patient | 7,119 | 6,633 | $173K |
| D1120 | Prophylaxis - child | 4,851 | 4,501 | $146K |
| D0274 | Bitewings - four radiographic images | 5,205 | 4,744 | $131K |
| D0145 | Oral evaluation for a patient under three years of age | 1,044 | 985 | $121K |
| D1208 | Topical application of fluoride, excluding varnish | 8,510 | 7,895 | $103K |
| D0220 | Intraoral - periapical first radiographic image | 9,343 | 8,412 | $82K |
| D0230 | Intraoral - periapical each additional radiographic image | 9,600 | 7,952 | $74K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,125 | 1,855 | $51K |
| D0272 | Bitewings - two radiographic images | 2,339 | 2,149 | $41K |
| D0330 | Panoramic radiographic image | 1,402 | 1,201 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 189 | 95 | $17K |
| D1206 | Topical application of fluoride varnish | 160 | 154 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 24 | 13 | $2K |
| D0140 | Limited oral evaluation - problem focused | 73 | 66 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13 | 12 | $957.30 |
| D0210 | Intraoral - complete series of radiographic images | 14 | 14 | $918.32 |
| D1999 | 1,372 | 909 | $0.00 | |
| D0603 | 6,610 | 6,192 | $0.00 | |
| D0601 | 1,529 | 1,435 | $0.00 | |
| D0602 | 2,233 | 2,081 | $0.00 |