MIGHTY SMILES LLC
NPI: 1306454475
· BROOKLYN, NY 11220
· Dentist
· NPI assigned 07/15/2020
Provider Details
| Authorized Official | WONG, SIMON (PRESIDENT) |
| NPI Enumeration Date | 07/15/2020 |
Related Entities
Other providers sharing the same authorized official: WONG, SIMON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
332 |
$9K |
| 2021 |
900 |
$25K |
| 2022 |
282 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
300 |
300 |
$13K |
| D0330 |
Panoramic radiographic image |
416 |
413 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
476 |
473 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
240 |
235 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
25 |
19 |
$1K |
| D4341 |
|
18 |
12 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$324.80 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$155.74 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$110.60 |