NPI: 1013392661 · HELENA, MT 59601 · Dentist · NPI assigned 07/24/2015
Authorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, JOHN (OWNER/DENTIST) |
| NPI Enumeration Date | 07/24/2015 |
Other providers sharing the same authorized official: SMITH, JOHN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,407 | $47K |
| 2019 | 108 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 275 | 271 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 67 | 48 | $8K |
| D0120 | Periodic oral evaluation - established patient | 292 | 290 | $7K |
| D1206 | Topical application of fluoride varnish | 308 | 305 | $6K |
| D0272 | Bitewings - two radiographic images | 208 | 200 | $4K |
| D0140 | Limited oral evaluation - problem focused | 107 | 105 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 101 | 95 | $3K |
| D0330 | Panoramic radiographic image | 59 | 56 | $3K |
| D1120 | Prophylaxis - child | 26 | 26 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 72 | 65 | $1K |