LE, THAI
NPI: 1871720912
· MANSFIELD, TX 76063
· General Practice Dentistry
· NPI assigned 06/16/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
12 |
$0.00 |
| 2023 |
313 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0145 |
Oral evaluation for a patient under three years of age |
106 |
106 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$367.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
12 |
$356.81 |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
24 |
$276.32 |
| D0601 |
|
106 |
106 |
$0.00 |
| D0603 |
|
26 |
26 |
$0.00 |