DENTALSMILEP.C.
NPI: 1235300898
· ASTORIA, NY 11102
· Dental Clinic/Center
· NPI assigned 03/21/2008
$133K
Total Medicaid Paid
Provider Details
| Authorized Official | SAIDI, WALEED (D.D.S.) |
| NPI Enumeration Date | 03/21/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
125 |
$3K |
| 2019 |
263 |
$4K |
| 2020 |
653 |
$19K |
| 2021 |
244 |
$5K |
| 2022 |
193 |
$53K |
| 2023 |
279 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2750 |
|
74 |
40 |
$58K |
| D2740 |
Crown - porcelain/ceramic |
73 |
13 |
$22K |
| D2954 |
|
160 |
51 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
694 |
686 |
$13K |
| D0330 |
Panoramic radiographic image |
540 |
539 |
$10K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
14 |
13 |
$6K |
| D1110 |
Prophylaxis - adult |
123 |
120 |
$4K |
| D4341 |
|
26 |
14 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
53 |
$1K |