NPI: 1912068347 · WEBSTER, TX 77598 · General Practice Dentistry · NPI assigned 12/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 48 | $441.17 |
| 2021 | 92 | $751.61 |
| 2022 | 63 | $767.89 |
| 2024 | 26 | $161.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 52 | 52 | $720.30 |
| D0220 | Intraoral - periapical first radiographic image | 42 | 42 | $439.60 |
| D0230 | Intraoral - periapical each additional radiographic image | 42 | 42 | $402.85 |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $317.35 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $242.27 |
| D0603 | 69 | 68 | $0.00 |