SMILEEASY DENTAL GRAND PRAIRIE, PLLC
NPI: 1073054748
· GRAND PRAIRIE, TX 75050
· General Practice Dentistry
· NPI assigned 03/15/2017
Provider Details
| Authorized Official | LE, LAN CHI (MANAGING MEMBER) |
| NPI Enumeration Date | 03/15/2017 |
Related Entities
Other providers sharing the same authorized official: LE, LAN CHI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
176 |
$4K |
| 2021 |
1,168 |
$19K |
| 2022 |
943 |
$13K |
| 2023 |
1,136 |
$19K |
| 2024 |
210 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
430 |
80 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
416 |
397 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
525 |
501 |
$7K |
| D0274 |
Bitewings - four radiographic images |
232 |
223 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
633 |
398 |
$6K |
| D1120 |
Prophylaxis - child |
171 |
160 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
425 |
408 |
$5K |
| D0350 |
|
388 |
374 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
30 |
12 |
$2K |
| D1110 |
Prophylaxis - adult |
28 |
25 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$490.95 |
| D0602 |
|
272 |
265 |
$0.00 |
| D0601 |
|
56 |
53 |
$0.00 |
| D0603 |
|
12 |
12 |
$0.00 |