CITY SMILES DENTAL
NPI: 1316393655
· HOUSTON, TX 77079
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/05/2016
Provider Details
| Authorized Official | SALAS, GUSTAVO (CEO) |
| NPI Enumeration Date | 05/05/2016 |
Related Entities
Other providers sharing the same authorized official: SALAS, GUSTAVO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$264.77 |
| 2021 |
708 |
$13K |
| 2022 |
1,289 |
$23K |
| 2023 |
1,189 |
$22K |
| 2024 |
818 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
635 |
625 |
$17K |
| D1110 |
Prophylaxis - adult |
235 |
231 |
$12K |
| D0274 |
Bitewings - four radiographic images |
407 |
399 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
759 |
743 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
744 |
731 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
773 |
734 |
$8K |
| D1120 |
Prophylaxis - child |
172 |
170 |
$6K |
| D0601 |
|
97 |
95 |
$0.00 |
| D0602 |
|
165 |
162 |
$0.00 |
| D0603 |
|
41 |
41 |
$0.00 |