PHANTASTIC FAMILY DENTAL CARE PA
NPI: 1972884237
· HOUSTON, TX 77015
· General Practice Dentistry
· NPI assigned 08/31/2011
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAN, MINH (DENTIST/PRESIDENT) |
| NPI Enumeration Date | 08/31/2011 |
Related Entities
Other providers sharing the same authorized official: PHAN, MINH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
81 |
$1K |
| 2021 |
2,382 |
$43K |
| 2022 |
2,758 |
$55K |
| 2023 |
1,626 |
$29K |
| 2024 |
755 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,053 |
1,052 |
$30K |
| D1351 |
Sealant - per tooth |
890 |
163 |
$24K |
| D1120 |
Prophylaxis - child |
655 |
653 |
$24K |
| D0240 |
|
2,047 |
1,033 |
$20K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,138 |
1,137 |
$17K |
| D0272 |
Bitewings - two radiographic images |
465 |
465 |
$11K |
| D1110 |
Prophylaxis - adult |
132 |
132 |
$7K |
| D0274 |
Bitewings - four radiographic images |
173 |
173 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
13 |
13 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$163.28 |
| D0601 |
|
915 |
909 |
$0.05 |
| D0602 |
|
66 |
65 |
$0.00 |
| D0603 |
|
42 |
42 |
$0.00 |