GERMANTOWN SMILE DESIGN PC
NPI: 1215108923
· GERMANTOWN, TN 38138
· Dentist
· NPI assigned 03/20/2008
Provider Details
| Authorized Official | WALLEY, DONALD (PRESIDENT) |
| NPI Enumeration Date | 03/20/2008 |
Related Entities
Other providers sharing the same authorized official: WALLEY, DONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
482 |
$12K |
| 2019 |
1,095 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
270 |
265 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
403 |
395 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
322 |
317 |
$7K |
| D0274 |
Bitewings - four radiographic images |
273 |
267 |
$6K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
70 |
40 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
120 |
115 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
107 |
104 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$175.50 |