NPI: 1952848087 · ROWLETT, TX 75088 · General Practice Dentistry · NPI assigned 01/26/2017
| Authorized Official | CHAN, DEREK (DENTIST) |
| NPI Enumeration Date | 01/26/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 44 | $545.53 |
| 2021 | 344 | $6K |
| 2022 | 672 | $12K |
| 2023 | 208 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 313 | 295 | $8K |
| D0350 | 399 | 363 | $7K | |
| D1120 | Prophylaxis - child | 71 | 67 | $2K |
| D0274 | Bitewings - four radiographic images | 63 | 58 | $2K |
| D1110 | Prophylaxis - adult | 27 | 27 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 81 | 77 | $1K |
| D1206 | Topical application of fluoride varnish | 43 | 40 | $561.90 |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $470.52 |
| D0603 | 258 | 252 | $0.00 |