MILES OF LITTLE SMILES PEDIATRIC DENTISTRY, PLLC
NPI: 1205328721
· WHITE PLAINS, NY 10604
· Pediatric Dentist
· NPI assigned 05/31/2018
Provider Details
| Authorized Official | BELGRADE, MILA (MANAGING PARTNER) |
| NPI Enumeration Date | 05/31/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$385.92 |
| 2021 |
119 |
$3K |
| 2022 |
309 |
$8K |
| 2023 |
871 |
$21K |
| 2024 |
1,316 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
966 |
966 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
698 |
698 |
$15K |
| D1206 |
Topical application of fluoride varnish |
199 |
199 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
231 |
231 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
209 |
209 |
$2K |
| D0272 |
Bitewings - two radiographic images |
109 |
109 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
203 |
203 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$269.28 |