NPI: 1952916355 · ODESSA, TX 79761 · General Practice Dentistry · NPI assigned 09/11/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 314 | $39K |
| 2023 | 2,934 | $55K |
| 2024 | 497 | $341.32 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 839 | 834 | $52K | |
| D0150 | 478 | 471 | $22K | |
| D0140 | 166 | 166 | $8K | |
| D7140 | 194 | 132 | $7K | |
| D1120 | 444 | 444 | $2K | |
| D1110 | 136 | 133 | $1K | |
| D2392 | 29 | 26 | $1K | |
| D4355 | 12 | 12 | $652.35 | |
| D1206 | 428 | 428 | $391.41 | |
| D0601 | 385 | 380 | $130.47 | |
| D0330 | 199 | 194 | $71.58 | |
| D0274 | 181 | 180 | $19.94 | |
| D0220 | 86 | 85 | $0.00 | |
| D0210 | 104 | 100 | $0.00 | |
| D0602 | 64 | 63 | $0.00 |