ACE DENTAL06, PC
NPI: 1952837189
· WACO, TX 76710
· General Practice Dentistry
· NPI assigned 05/09/2017
$114K
Total Medicaid Paid
Provider Details
| Authorized Official | CHAKRAVARTY, AC (BUSINESS MANAGER) |
| NPI Enumeration Date | 05/09/2017 |
Related Entities
Other providers sharing the same authorized official: CHAKRAVARTY, AC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
220 |
$3K |
| 2021 |
1,532 |
$24K |
| 2022 |
1,900 |
$25K |
| 2023 |
2,569 |
$41K |
| 2024 |
1,201 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
1,222 |
209 |
$33K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,622 |
705 |
$17K |
| D0145 |
Oral evaluation for a patient under three years of age |
89 |
89 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
766 |
749 |
$11K |
| D1120 |
Prophylaxis - child |
307 |
298 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
340 |
332 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
871 |
820 |
$8K |
| D1110 |
Prophylaxis - adult |
128 |
127 |
$6K |
| D0274 |
Bitewings - four radiographic images |
228 |
221 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
90 |
88 |
$3K |
| D0603 |
|
590 |
584 |
$0.00 |
| D0601 |
|
156 |
151 |
$0.00 |
| D0602 |
|
13 |
12 |
$0.00 |