DAVID L FLEITAS DDS PLLC
NPI: 1942530910
· LA VERNIA, TX 78121
· Pediatric Dentist
· NPI assigned 01/13/2010
$139K
Total Medicaid Paid
Provider Details
| Authorized Official | FLEITAS, DAVID (SOLE MEMBER) |
| NPI Enumeration Date | 01/13/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$522.60 |
| 2021 |
1,719 |
$32K |
| 2022 |
1,818 |
$35K |
| 2023 |
1,910 |
$47K |
| 2024 |
1,351 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,347 |
1,298 |
$36K |
| D1120 |
Prophylaxis - child |
969 |
934 |
$32K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,434 |
1,380 |
$19K |
| D0145 |
Oral evaluation for a patient under three years of age |
99 |
97 |
$13K |
| D1351 |
Sealant - per tooth |
535 |
128 |
$13K |
| D1110 |
Prophylaxis - adult |
168 |
159 |
$8K |
| D0272 |
Bitewings - two radiographic images |
350 |
336 |
$8K |
| D0274 |
Bitewings - four radiographic images |
179 |
172 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
264 |
250 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
85 |
78 |
$2K |
| D0603 |
|
969 |
947 |
$0.00 |
| D0602 |
|
282 |
277 |
$0.00 |
| D0601 |
|
143 |
143 |
$0.00 |