DR. JACK SMALLEY D.D.S.
NPI: 1073844221
· FARMINGTON, NM 87401
· Dentist
· NPI assigned 01/27/2010
Provider Details
| Authorized Official | SONA, DEANZA (OFFICE MANAGER) |
| NPI Enumeration Date | 01/27/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
155 |
$5K |
| 2023 |
189 |
$6K |
| 2024 |
38 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
218 |
216 |
$9K |
| D1206 |
Topical application of fluoride varnish |
78 |
77 |
$1K |
| D0274 |
Bitewings - four radiographic images |
41 |
40 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
45 |
45 |
$866.91 |