SMITH, JOHN
NPI: 1306053996
· VERMILLION, SD 57069
· General Practice Dentistry
· NPI assigned 05/16/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
193 |
$4K |
| 2019 |
43 |
$905.77 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
85 |
85 |
$2K |
| D1120 |
Prophylaxis - child |
45 |
45 |
$2K |
| D1351 |
Sealant - per tooth |
40 |
17 |
$1K |
| D0603 |
|
66 |
66 |
$307.96 |