LEANDER PEDIATRIC DENTISTRY
NPI: 1922355437
· LEANDER, TX 78641
· Pediatric Dentist
· NPI assigned 08/14/2012
$209K
Total Medicaid Paid
Provider Details
| Authorized Official | FURROW, SCOTT (PRESIDENT) |
| NPI Enumeration Date | 08/14/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
66 |
$2K |
| 2021 |
1,156 |
$23K |
| 2022 |
2,471 |
$63K |
| 2023 |
2,858 |
$75K |
| 2024 |
1,961 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
544 |
533 |
$72K |
| D1120 |
Prophylaxis - child |
1,286 |
1,242 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
1,327 |
1,280 |
$36K |
| D1206 |
Topical application of fluoride varnish |
1,715 |
1,651 |
$23K |
| D0272 |
Bitewings - two radiographic images |
529 |
511 |
$10K |
| D1110 |
Prophylaxis - adult |
147 |
143 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
142 |
136 |
$5K |
| D0330 |
Panoramic radiographic image |
122 |
117 |
$4K |
| D1351 |
Sealant - per tooth |
167 |
51 |
$4K |
| D9248 |
|
20 |
17 |
$2K |
| D0274 |
Bitewings - four radiographic images |
40 |
39 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
56 |
53 |
$635.52 |
| D0603 |
|
2,289 |
2,209 |
$0.00 |
| D0602 |
|
59 |
54 |
$0.00 |
| D1999 |
|
69 |
64 |
$0.00 |