NPI: 1992029342 · SAN ANTONIO, TX 78221 · Dentist · NPI assigned 03/15/2010
Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PHAN, TIEN (OWNER) |
| NPI Enumeration Date | 03/15/2010 |
Other providers sharing the same authorized official: PHAN, TIEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| ACCESS DENTAL OF RUNDBERG | AUSTIN | TX | $3.69M |
| ACCESS DENTAL OF ED BLUESTEIN PA | AUSTIN | TX | $2.50M |
| ACCESS DENTAL OF WILLIAM CANNON PA | AUSTIN | TX | $1.69M |
| LA COSTA DENTAL OF KOSTORYZ PA | CORPUS CHRISTI | TX | $1.62M |
| LA COSTA DENTAL OF LEOPARD PA | CORPUS CHRISTI | TX | $1.32M |
| ACCESS DENTAL OF ZARZAMORA PA | SAN ANTONIO | TX | $1.17M |
| LA COSTA DENTAL OF AYERS PA | CORPUS CHRISTI | TX | $1.11M |
| ACCESS DENTAL OF 7TH STREET | AUSTIN | TX | $1.06M |
| LA COSTA OF BEAUMONT PA | BEAUMONT | TX | $650K |
| ACCESS DENTAL OF WHITE, P.A. | SAN ANTONIO | TX | $564K |
| ACCESS DENTAL OF MEADOWBROOK | FORT WORTH | TX | $549K |
| LA COSTA OF PORT ARTHUR PA | PORT ARTHUR | TX | $526K |
| ACCESS DENTAL OF FREDERICKSBURG PA | SAN ANTONIO | TX | $356K |
| ACCESS DENTAL OF TRAWOOD PLLC | EL PASO | TX | $349K |
| ACCESS DENTAL OF VALLEY MILLS PA | WACO | TX | $291K |
| ACCESS DENTAL OF SAGINAW | SAGINAW | TX | $281K |
| ACCESS DENTAL OF PARK LAKE PA | WACO | TX | $209K |
| ACCESS DENTAL OF HALTOM CITY | HALTOM CITY | TX | $140K |
| ACCESS DENTAL OF EL PASO PLLC | EL PASO | TX | $122K |
| ACCESS DENTAL OF LAKE JUNE | DALLAS | TX | $115K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 724 | $24K |
| 2021 | 6,057 | $213K |
| 2022 | 3,036 | $70K |
| 2023 | 2,187 | $50K |
| 2024 | 1,072 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,226 | 397 | $114K |
| D0120 | Periodic oral evaluation - established patient | 2,101 | 2,062 | $57K |
| D1110 | Prophylaxis - adult | 696 | 684 | $36K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 431 | 170 | $32K |
| D1120 | Prophylaxis - child | 957 | 944 | $32K |
| D0274 | Bitewings - four radiographic images | 1,049 | 1,026 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | 1,876 | 1,847 | $26K |
| D1351 | Sealant - per tooth | 979 | 205 | $25K |
| D0272 | Bitewings - two radiographic images | 477 | 465 | $11K |
| D0330 | Panoramic radiographic image | 382 | 371 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 253 | 244 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 199 | 187 | $2K |
| D9944 | 16 | 13 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | 28 | 28 | $1K |
| D0350 | 30 | 27 | $479.28 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 16 | 16 | $428.22 |
| D0603 | 2,334 | 2,288 | $0.05 | |
| D0602 | 26 | 26 | $0.00 |