SILVER LAKE SMILES FAMILY DENTISTRY
NPI: 1205497435
· NEW BRIGHTON, MN 55112
· Dental Clinic/Center
· NPI assigned 06/27/2019
Provider Details
| Authorized Official | ONG, DAVID (OWNER) |
| NPI Enumeration Date | 06/27/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$237.33 |
| 2022 |
12 |
$404.10 |
| 2023 |
14 |
$577.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$641.43 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$577.60 |