FACELIPSTEETH, INC
NPI: 1255091625
· WEST ISLIP, NY 11795
· General Practice Dentistry
· NPI assigned 12/27/2021
Provider Details
| Authorized Official | CALDERON, MIKE (DDS) |
| NPI Enumeration Date | 12/27/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
364 |
$12K |
| 2024 |
484 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
412 |
412 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
249 |
249 |
$5K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
28 |
13 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
36 |
36 |
$2K |
| D0272 |
Bitewings - two radiographic images |
110 |
110 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$291.72 |