DIEP PHAM DDS PA
NPI: 1902345044
· HOUSTON, TX 77011
· General Practice Dentistry
· NPI assigned 02/22/2017
$152.16
Total Medicaid Paid
Provider Details
| Authorized Official | PHAM, DIEP (OWNER/DENTIST) |
| NPI Enumeration Date | 02/22/2017 |
Related Entities
Other providers sharing the same authorized official: PHAM, DIEP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$152.16 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$152.16 |