TOOTHTIME FAMILY DENTISTRY PLLC
NPI: 1881880953
· SEGUIN, TX 78155
· General Practice Dentistry
· NPI assigned 09/21/2007
$110K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: WILLIAMS, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
277 |
$4K |
| 2021 |
1,682 |
$34K |
| 2022 |
1,750 |
$31K |
| 2023 |
1,769 |
$32K |
| 2024 |
727 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
511 |
492 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
908 |
876 |
$24K |
| D0274 |
Bitewings - four radiographic images |
517 |
497 |
$16K |
| D1206 |
Topical application of fluoride varnish |
1,019 |
980 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
714 |
687 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
693 |
659 |
$7K |
| D1120 |
Prophylaxis - child |
171 |
162 |
$6K |
| D1351 |
Sealant - per tooth |
215 |
44 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
24 |
13 |
$3K |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$2K |
| D0272 |
Bitewings - two radiographic images |
26 |
25 |
$464.80 |
| D0330 |
Panoramic radiographic image |
15 |
12 |
$207.90 |
| D1999 |
|
845 |
709 |
$0.00 |
| D0603 |
|
320 |
315 |
$0.00 |
| D0601 |
|
123 |
121 |
$0.00 |
| D0602 |
|
92 |
91 |
$0.00 |