COMPLETE SMILES, INC.
NPI: 1003001710
· BLUFFTON, IN 46714
· General Practice Dentistry
· NPI assigned 09/06/2007
Provider Details
| Authorized Official | RUNYON, VIKKI (SECRETARY) |
| NPI Enumeration Date | 09/06/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
186 |
$2K |
| 2019 |
177 |
$4K |
| 2020 |
89 |
$2K |
| 2021 |
276 |
$8K |
| 2022 |
188 |
$5K |
| 2023 |
128 |
$3K |
| 2024 |
124 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
972 |
804 |
$20K |
| D1110 |
Prophylaxis - adult |
142 |
92 |
$6K |
| D1206 |
Topical application of fluoride varnish |
42 |
38 |
$853.51 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$379.50 |