THE GRACEFUL SMILE SOLUTIONS
NPI: 1104435783
· MILAN, MI 48160
· Dentist
· NPI assigned 07/29/2020
Provider Details
| Authorized Official | KROHL, MARIA (OFFICE MANAGER) |
| NPI Enumeration Date | 07/29/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
166 |
$6K |
| 2022 |
269 |
$6K |
| 2023 |
13 |
$354.19 |
| 2024 |
264 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
200 |
199 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
175 |
170 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
108 |
108 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
43 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
146 |
86 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$612.00 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
14 |
$420.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$400.00 |