SMILE MORE FAMILY DENTAL, LLC
NPI: 1023779535
· CRETE, NE 68333
· General Practice Dentistry
· NPI assigned 01/06/2022
Provider Details
| Authorized Official | DEAN, AMANDA (OWNER/MANAGER) |
| NPI Enumeration Date | 01/06/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,941 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
657 |
637 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
398 |
396 |
$11K |
| D1120 |
Prophylaxis - child |
321 |
320 |
$11K |
| D1110 |
Prophylaxis - adult |
192 |
189 |
$8K |
| D0272 |
Bitewings - two radiographic images |
249 |
248 |
$4K |
| D0240 |
|
633 |
215 |
$4K |
| D0274 |
Bitewings - four radiographic images |
147 |
144 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
102 |
100 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
137 |
126 |
$963.42 |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$811.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
90 |
68 |
$480.00 |