EVERSMILES DENTAL
NPI: 1013654458
· PASADENA, TX 77505
· General Practice Dentistry
· NPI assigned 05/17/2022
Provider Details
| Authorized Official | MAI, JENNA (MANAGER) |
| NPI Enumeration Date | 05/17/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
283 |
$7K |
| 2024 |
31 |
$354.38 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
231 |
24 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
34 |
29 |
$396.90 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
24 |
$301.44 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$126.61 |
| D0603 |
|
12 |
12 |
$0.00 |