EMERALD FAMILY DENTISTRY PLLC
NPI: 1952745630
· HOUSTON, TX 77036
· Dentist
· NPI assigned 04/24/2013
$133K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, QUYNH (DENTIST/OWNER) |
| NPI Enumeration Date | 04/24/2013 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, QUYNH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
500 |
$9K |
| 2021 |
1,497 |
$25K |
| 2022 |
1,587 |
$25K |
| 2023 |
1,946 |
$50K |
| 2024 |
1,330 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
269 |
56 |
$26K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,121 |
841 |
$23K |
| D0145 |
Oral evaluation for a patient under three years of age |
150 |
140 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
650 |
631 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
812 |
782 |
$11K |
| D0220 |
Intraoral - periapical first radiographic image |
842 |
811 |
$10K |
| D1110 |
Prophylaxis - adult |
195 |
181 |
$9K |
| D0274 |
Bitewings - four radiographic images |
262 |
245 |
$8K |
| D1120 |
Prophylaxis - child |
227 |
217 |
$8K |
| D0272 |
Bitewings - two radiographic images |
79 |
74 |
$2K |
| D0601 |
|
1,217 |
1,165 |
$36.00 |
| D0602 |
|
36 |
36 |
$0.00 |