TYLER L SMITH FAMILY DENTISTRY
NPI: 1336376409
· OMAHA, NE 68135
· Dentist
· NPI assigned 06/16/2009
Provider Details
| Authorized Official | SMITH, TYLER (PRESIDENT) |
| NPI Enumeration Date | 06/16/2009 |
Related Entities
Other providers sharing the same authorized official: SMITH, TYLER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
247 |
$5K |
| 2019 |
353 |
$7K |
| 2020 |
104 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
282 |
270 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
242 |
241 |
$5K |
| D1110 |
Prophylaxis - adult |
27 |
25 |
$733.92 |
| D0274 |
Bitewings - four radiographic images |
62 |
61 |
$555.94 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$534.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$432.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$286.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$264.00 |
| D1999 |
|
18 |
15 |
$180.00 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$0.00 |