SENSATIONAL SMILES DENTISTRY SUBSIDIARY
NPI: 1083383749
· SIOUX FALLS, SD 57105
· Dental Clinic/Center
· NPI assigned 09/07/2021
Provider Details
| Authorized Official | HARRINGTON, AUDREY (EXECUTIVE DIRECTOR) |
| Parent Organization | SENSATIONAL SMILES DENTISTRY PARTNERSHIP |
| NPI Enumeration Date | 09/07/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
86 |
$4K |
| 2023 |
123 |
$6K |
| 2024 |
128 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
137 |
132 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
117 |
109 |
$4K |
| D1206 |
Topical application of fluoride varnish |
68 |
68 |
$2K |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$732.75 |