NPI: 1902961212 · IRVING, TX 75062 · Pediatric Dentist · NPI assigned 12/27/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,707 | $292K |
| 2024 | 1,229 | $129K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 1,683 | 225 | $223K |
| D2934 | 703 | 124 | $96K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1,195 | 201 | $90K |
| D9420 | 262 | 244 | $8K | |
| D7140 | Extraction, erupted tooth or exposed root | 40 | 13 | $2K |
| D1351 | Sealant - per tooth | 53 | 12 | $1K |