SHAVANO PARK FAMILY DENTISTRY, PA
NPI: 1942359286
· SAN ANTONIO, TX 78249
· Dentist
· NPI assigned 01/09/2007
Provider Details
| Authorized Official | TRAN, HUYEN (PRESIDENT) |
| NPI Enumeration Date | 01/09/2007 |
Related Entities
Other providers sharing the same authorized official: TRAN, HUYEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
60 |
$671.14 |
| 2021 |
138 |
$1K |
| 2022 |
324 |
$4K |
| 2023 |
247 |
$3K |
| 2024 |
26 |
$522.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
149 |
140 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
202 |
191 |
$3K |
| D1120 |
Prophylaxis - child |
31 |
31 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
78 |
75 |
$926.92 |
| D0230 |
Intraoral - periapical each additional radiographic image |
65 |
63 |
$689.45 |
| D0603 |
|
270 |
260 |
$0.00 |