CELESTIAL SMILE DENTAL ASSOCIATES - MA PC
NPI: 1316590839
· ROXBURY, MA 02119
· General Practice Dentistry
· NPI assigned 07/23/2019
Provider Details
| Authorized Official | OLATUNJI, ANTHONY (DENTIST-PRESIDENT) |
| NPI Enumeration Date | 07/23/2019 |
Related Entities
Other providers sharing the same authorized official: OLATUNJI, ANTHONY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
335 |
$10K |
| 2020 |
124 |
$5K |
| 2022 |
162 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
145 |
143 |
$6K |
| D1351 |
Sealant - per tooth |
137 |
31 |
$5K |
| D1110 |
Prophylaxis - adult |
59 |
58 |
$3K |
| D1120 |
Prophylaxis - child |
53 |
53 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
60 |
60 |
$2K |
| D0274 |
Bitewings - four radiographic images |
32 |
32 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
59 |
58 |
$892.00 |
| D0330 |
Panoramic radiographic image |
27 |
27 |
$847.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
49 |
46 |
$584.00 |