SEASIDE SMILES, PLLC
NPI: 1053013441
· WOLFEBORO, NH 03894
· Pediatric Dentist
· NPI assigned 03/20/2023
Provider Details
| Authorized Official | HALL, ANDREW (BUSINESS MANAGER) |
| NPI Enumeration Date | 03/20/2023 |
Related Entities
Other providers sharing the same authorized official: HALL, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
440 |
$20K |
| 2024 |
726 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
173 |
47 |
$19K |
| D1120 |
Prophylaxis - child |
226 |
225 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
240 |
240 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
313 |
312 |
$7K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
79 |
76 |
$4K |
| D1354 |
|
68 |
13 |
$2K |
| D0274 |
Bitewings - four radiographic images |
52 |
51 |
$2K |
| D0603 |
|
15 |
12 |
$0.00 |