UPWARD SMILES,INC
NPI: 1174891022
· FARMINGTON, MO 63640
· General Practice Dentistry
· NPI assigned 12/07/2011
Provider Details
| Authorized Official | CAULEY, SHERRY (DIRECTOR) |
| NPI Enumeration Date | 12/07/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
102 |
$1K |
| 2022 |
38 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
50 |
49 |
$487.95 |
| D0230 |
Intraoral - periapical each additional radiographic image |
65 |
25 |
$423.47 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$114.96 |