SPARKLE123PLLC
NPI: 1871238998
· ROSENBERG, TX 77471
· General Practice Dentistry
· NPI assigned 05/03/2022
Provider Details
| Authorized Official | DUSANE, TANVI (OWNER DENTIST) |
| NPI Enumeration Date | 05/03/2022 |
Related Entities
Other providers sharing the same authorized official: DUSANE, TANVI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
240 |
$3K |
| 2023 |
377 |
$6K |
| 2024 |
484 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
130 |
17 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
92 |
88 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
231 |
136 |
$2K |
| D1206 |
Topical application of fluoride varnish |
168 |
162 |
$2K |
| D1120 |
Prophylaxis - child |
62 |
55 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
137 |
130 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$317.35 |
| D0602 |
|
268 |
261 |
$0.00 |