TEXAS DENTAL ASSOCIATES, PA
NPI: 1942712377
· SPRING, TX 77389
· Dentist
· NPI assigned 10/25/2017
$105K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ANDRESS, DONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
496 |
$5K |
| 2022 |
1,765 |
$39K |
| 2023 |
1,690 |
$41K |
| 2024 |
1,178 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
295 |
279 |
$36K |
| D1120 |
Prophylaxis - child |
622 |
591 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
406 |
399 |
$11K |
| D0272 |
Bitewings - two radiographic images |
469 |
447 |
$10K |
| D1351 |
Sealant - per tooth |
329 |
53 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
654 |
615 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
633 |
556 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
413 |
403 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32 |
31 |
$1K |
| D1206 |
Topical application of fluoride varnish |
39 |
39 |
$573.30 |
| D0603 |
|
1,237 |
1,127 |
$0.00 |