SMITH, RICK
NPI: 1134110406
· GRIDLEY, KS 66852
· General Practice Physician
· NPI assigned 11/04/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
237 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
90 |
14 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
51 |
26 |
$496.00 |
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$493.00 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
39 |
$468.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$360.00 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$336.00 |