NPI: 1972110039 · EL PASO, TX 79936 · Dentist · NPI assigned 09/23/2020
Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PHAN, TIEN (DMD) |
| NPI Enumeration Date | 09/23/2020 |
Other providers sharing the same authorized official: PHAN, TIEN
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 4,027 | $113K |
| 2022 | 4,577 | $115K |
| 2023 | 2,858 | $89K |
| 2024 | 1,417 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,466 | 1,437 | $74K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 635 | 322 | $58K |
| D0120 | Periodic oral evaluation - established patient | 1,944 | 1,905 | $51K |
| D0274 | Bitewings - four radiographic images | 1,160 | 1,141 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 2,078 | 2,052 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 413 | 232 | $28K |
| D1120 | Prophylaxis - child | 571 | 562 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 241 | 233 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 301 | 294 | $10K |
| D1351 | Sealant - per tooth | 420 | 83 | $9K |
| D0272 | Bitewings - two radiographic images | 330 | 321 | $7K |
| D0330 | Panoramic radiographic image | 156 | 153 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 392 | 389 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 204 | 190 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 19 | 12 | $2K |
| D0350 | 104 | 104 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | 13 | 13 | $2K |
| D0602 | 2,275 | 2,234 | $0.01 | |
| D0601 | 32 | 31 | $0.00 | |
| D0603 | 125 | 121 | $0.00 |