CONFIDENT SMILE DENTAL, P.C.
NPI: 1003197369
· WEST HEMPSTEAD, NY 11552
· General Practice Dentistry
· NPI assigned 08/31/2011
Provider Details
| Authorized Official | GORDON, LANA (OWNER) |
| NPI Enumeration Date | 08/31/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
118 |
$2K |
| 2021 |
527 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
105 |
105 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
173 |
173 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
188 |
188 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
53 |
53 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
94 |
94 |
$625.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
20 |
20 |
$448.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$130.80 |