ESCOBAR PREMIER DENTAL PLLC
NPI: 1912546672
· CYPRESS, TX 77429
· General Practice Dentistry
· NPI assigned 12/30/2019
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
143 |
$2K |
| 2023 |
572 |
$6K |
| 2024 |
328 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1208 |
Topical application of fluoride, excluding varnish |
215 |
202 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
280 |
258 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
293 |
226 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
91 |
85 |
$2K |
| D1120 |
Prophylaxis - child |
46 |
40 |
$1K |
| D0272 |
Bitewings - two radiographic images |
26 |
25 |
$537.74 |
| D0603 |
|
92 |
89 |
$0.00 |