NPI: 1952409195 · LA FERIA, TX 78559 · General Practice Dentistry · NPI assigned 09/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 98 | $1K |
| 2021 | 780 | $13K |
| 2022 | 749 | $13K |
| 2023 | 588 | $10K |
| 2024 | 188 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 524 | 524 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 576 | 576 | $8K |
| D1120 | Prophylaxis - child | 172 | 172 | $6K |
| D0274 | Bitewings - four radiographic images | 124 | 124 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 182 | 180 | $2K |
| D1110 | Prophylaxis - adult | 38 | 38 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 12 | 12 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 149 | 147 | $2K |
| D0602 | 626 | 626 | $0.00 |