CISNEROS DENTISTRY PLLC
NPI: 1912563958
· PASADENA, TX 77502
· General Practice Dentistry
· NPI assigned 05/15/2019
Provider Details
| Authorized Official | MARMOL, CARMEN (OFFICE MANAGER) |
| NPI Enumeration Date | 05/15/2019 |
Related Entities
Other providers sharing the same authorized official: MARMOL, CARMEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
272 |
$6K |
| 2022 |
352 |
$6K |
| 2023 |
466 |
$10K |
| 2024 |
535 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
114 |
113 |
$14K |
| D1351 |
Sealant - per tooth |
155 |
14 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
263 |
258 |
$4K |
| D1120 |
Prophylaxis - child |
99 |
98 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
112 |
110 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
264 |
254 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
240 |
222 |
$2K |
| D0272 |
Bitewings - two radiographic images |
45 |
45 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
12 |
$560.16 |
| D0274 |
Bitewings - four radiographic images |
16 |
14 |
$415.32 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$415.20 |
| D0601 |
|
254 |
249 |
$0.00 |
| D0603 |
|
26 |
26 |
$0.00 |
| D0602 |
|
12 |
12 |
$0.00 |