JACQUELINE B SMITH DDS PLLC
NPI: 1285870188
· VIRGINIA BEACH, VA 23464
· General Practice Dentistry
· NPI assigned 12/23/2008
Provider Details
| Authorized Official | SMITH, JACQUELINE (GENERAL DENTIST) |
| NPI Enumeration Date | 12/23/2008 |
Related Entities
Other providers sharing the same authorized official: SMITH, JACQUELINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
783 |
$19K |
| 2019 |
700 |
$16K |
| 2020 |
608 |
$14K |
| 2021 |
428 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
519 |
464 |
$21K |
| D1208 |
Topical application of fluoride, excluding varnish |
835 |
793 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
716 |
674 |
$13K |
| D1120 |
Prophylaxis - child |
162 |
162 |
$5K |
| D0274 |
Bitewings - four radiographic images |
100 |
93 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
32 |
$992.97 |
| D0220 |
Intraoral - periapical first radiographic image |
84 |
60 |
$670.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
28 |
16 |
$313.04 |
| D0140 |
Limited oral evaluation - problem focused |
25 |
12 |
$248.30 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$221.65 |