LEGACY SMILES INTERNATIONAL
NPI: 1316475106
· BILLINGS, MT 59102
· General Practice Dentistry
· NPI assigned 05/24/2017
Provider Details
Related Entities
Other providers sharing the same authorized official: STUART, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
80 |
$2K |
| 2019 |
71 |
$2K |
| 2020 |
211 |
$6K |
| 2021 |
308 |
$11K |
| 2022 |
51 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
202 |
200 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
211 |
206 |
$5K |
| D0274 |
Bitewings - four radiographic images |
104 |
102 |
$4K |
| D1206 |
Topical application of fluoride varnish |
180 |
172 |
$4K |
| D1120 |
Prophylaxis - child |
24 |
24 |
$1K |