SMILE CLINIC MOBILE DENTISTRY PC
NPI: 1063982965
· ALLEN PARK, MI 48101
· Dental Clinic/Center
· NPI assigned 12/04/2018
Provider Details
| Authorized Official | BELLEW, CLAUDIA (OFFICE MANAGER) |
| NPI Enumeration Date | 12/04/2018 |
Related Entities
Other providers sharing the same authorized official: BELLEW, CLAUDIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
102 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
28 |
27 |
$1K |
| D1206 |
Topical application of fluoride varnish |
27 |
26 |
$650.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$430.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$221.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
21 |
13 |
$189.00 |