NPI: 1891230280 · MANSFIELD, TX 76063 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 399 | $9K |
| 2021 | 3,608 | $86K |
| 2022 | 3,097 | $73K |
| 2023 | 2,918 | $63K |
| 2024 | 1,776 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 1,532 | 1,514 | $43K | |
| D1351 | 1,616 | 286 | $42K | |
| D1110 | 779 | 765 | $41K | |
| D1120 | 839 | 832 | $30K | |
| D0274 | 749 | 740 | $25K | |
| D1208 | 1,635 | 1,622 | $24K | |
| D0220 | 1,268 | 1,245 | $15K | |
| D2392 | 140 | 52 | $14K | |
| D0230 | 1,222 | 1,198 | $14K | |
| D0210 | 147 | 145 | $10K | |
| D0272 | 156 | 156 | $4K | |
| D0145 | 24 | 24 | $3K | |
| D9230 | 104 | 101 | $3K | |
| D0150 | 30 | 28 | $948.73 | |
| D0603 | 957 | 953 | $165.06 | |
| D0601 | 600 | 594 | $0.00 |