UNIQUE SMILE DENTAL CLINIC LLC
NPI: 1164206660
· ANASCO, PR 00610
· Public Health Dentist
· NPI assigned 08/24/2023
Provider Details
| Authorized Official | SUAREZ, CINDY (DENTIST) |
| NPI Enumeration Date | 08/24/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
3,896 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
694 |
477 |
$24K |
| D1999 |
|
1,119 |
735 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
674 |
464 |
$11K |
| D0330 |
Panoramic radiographic image |
274 |
175 |
$9K |
| D0272 |
Bitewings - two radiographic images |
442 |
293 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
287 |
179 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
168 |
101 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
77 |
30 |
$3K |
| D1120 |
Prophylaxis - child |
161 |
95 |
$3K |