FRIENDLY SMILE DENTAL INC
NPI: 1093298325
· PHILADELPHIA, PA 19152
· Dental Clinic/Center
· NPI assigned 09/12/2018
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
171 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
61 |
61 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
15 |
$2K |
| D0274 |
Bitewings - four radiographic images |
19 |
19 |
$479.36 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
21 |
21 |
$382.40 |
| D0220 |
Intraoral - periapical first radiographic image |
33 |
33 |
$245.28 |
| D0230 |
Intraoral - periapical each additional radiographic image |
20 |
20 |
$144.52 |