SMITH, GREGG
NPI: 1073591277
· SULLIVAN, IN 47882
· General Practice Dentistry
· NPI assigned 01/06/2006
$44.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
152 |
$44.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
78 |
74 |
$44.50 |
| D1110 |
Prophylaxis - adult |
74 |
70 |
$0.00 |