SMILE DESTINATION, LLC
NPI: 1225717002
· NEWARK, DE 19711
· Dental Clinic/Center
· NPI assigned 07/17/2023
Provider Details
| Authorized Official | LLC, SMILE (OWNER) |
| NPI Enumeration Date | 07/17/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
40 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
26 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$1K |