STAR SMILE DENTAL PLLC
NPI: 1134642432
· RICHMOND, TX 77407
· Dentist
· NPI assigned 07/19/2017
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
65 |
$1K |
| 2021 |
148 |
$2K |
| 2022 |
246 |
$2K |
| 2023 |
52 |
$433.09 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
121 |
114 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
122 |
109 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
83 |
80 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
44 |
43 |
$980.90 |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$584.50 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$380.71 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$367.50 |
| D0603 |
|
16 |
14 |
$0.00 |
| D0602 |
|
71 |
59 |
$0.00 |