NPI: 1871717645 · CYPRESS, TX 77433 · General Practice Dentistry · NPI assigned 04/12/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 26 | $0.00 |
| 2022 | 88 | $850.21 |
| 2023 | 121 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 24 | 24 | $692.40 |
| D1208 | Topical application of fluoride, excluding varnish | 40 | 40 | $588.00 |
| D0220 | Intraoral - periapical first radiographic image | 40 | 40 | $439.54 |
| D0230 | Intraoral - periapical each additional radiographic image | 40 | 40 | $402.83 |
| D0601 | 91 | 91 | $0.00 |