GAMBLE DENTALSMART PC
NPI: 1144685330
· NORTH CHARLESTON, SC 29418
· General Practice Dentistry
· NPI assigned 12/15/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
129 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
25 |
13 |
$2K |
| D0274 |
Bitewings - four radiographic images |
52 |
52 |
$1K |
| D1110 |
Prophylaxis - adult |
27 |
27 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$526.50 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$276.00 |