SUPER SMILES DENTISTRY FOR CHILDREN, PC
NPI: 1275937872
· WILLINGBORO, NJ 08046
· Pediatric Dentist
· NPI assigned 10/10/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
240 |
$8K |
| 2019 |
225 |
$7K |
| 2020 |
305 |
$9K |
| 2021 |
383 |
$12K |
| 2022 |
411 |
$13K |
| 2023 |
372 |
$12K |
| 2024 |
298 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
882 |
874 |
$40K |
| D1208 |
Topical application of fluoride, excluding varnish |
868 |
860 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
458 |
454 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$350.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$60.00 |