SMILE CLINIC MOBILE DENTISTRY PC
NPI: 1063982965
· ALLEN PARK, MI 48101
· 261QD0000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
102 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
28 |
27 |
$1K |
| D1206 |
|
27 |
26 |
$650.00 |
| D0150 |
|
13 |
13 |
$430.00 |
| D0220 |
|
13 |
13 |
$221.00 |
| D0230 |
|
21 |
13 |
$189.00 |