HEAVENLY SMILES MOBILE DENTAL
NPI: 1336755362
· LAS VEGAS, NV 89130
· Dental Hygienist
· NPI assigned 09/16/2020
2,513
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
248 |
$5K |
| 2022 |
1,940 |
$25K |
| 2023 |
309 |
$5K |
| 2024 |
268 |
$7K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
713 |
699 |
$17K |
| D0190 |
|
751 |
738 |
$11K |
| D1351 |
Sealant - per tooth |
239 |
29 |
$5K |
| D9999 |
Unspecified adjunctive procedure, by report |
91 |
91 |
$3K |
| D1120 |
Prophylaxis - child |
62 |
62 |
$3K |
| D0601 |
|
287 |
281 |
$1K |
| D0603 |
|
126 |
125 |
$620.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
12 |
12 |
$360.00 |
| D0602 |
|
12 |
12 |
$50.00 |
| D1330 |
|
472 |
464 |
$0.00 |