KATY DENTISTS PA
NPI: 1962826172
· KATY, TX 77449
· General Practice Dentistry
· NPI assigned 02/07/2014
$695.39
Total Medicaid Paid
Provider Details
| Authorized Official | TRAN, ANDREW (OWNER) |
| NPI Enumeration Date | 02/07/2014 |
Related Entities
Other providers sharing the same authorized official: TRAN, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
24 |
$259.49 |
| 2019 |
38 |
$435.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
30 |
$356.99 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
30 |
$338.40 |