DARLING SMILES PEDIATRIC DENTISTRY, LLC
NPI: 1013515683
· NEW BRAUNFELS, TX 78130
· Pediatric Dentist
· NPI assigned 10/15/2020
Provider Details
| Authorized Official | MATTHES, LELA (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 10/15/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
223 |
$3K |
| 2023 |
307 |
$4K |
| 2024 |
270 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
220 |
203 |
$7K |
| D1206 |
Topical application of fluoride varnish |
222 |
203 |
$3K |
| D0145 |
Oral evaluation for a patient under three years of age |
13 |
13 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
46 |
45 |
$1K |
| D0272 |
Bitewings - two radiographic images |
34 |
27 |
$607.88 |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
30 |
$425.87 |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
31 |
$376.80 |
| D0603 |
|
115 |
106 |
$0.00 |
| D0602 |
|
27 |
26 |
$0.00 |
| D0601 |
|
42 |
37 |
$0.00 |