MV PREMIER SMILE DENTAL LLC
NPI: 1336881028
· MARYSVILLE, OH 43040
· General Practice Dentistry
· NPI assigned 04/12/2022
Provider Details
| Authorized Official | SALIBA, JIHAD (DENTIST) |
| NPI Enumeration Date | 04/12/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
263 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
58 |
34 |
$1K |
| D0330 |
Panoramic radiographic image |
29 |
17 |
$1K |
| D1321 |
|
52 |
31 |
$780.00 |
| D1320 |
|
30 |
17 |
$420.00 |
| D1310 |
|
57 |
34 |
$0.00 |
| D1330 |
|
37 |
22 |
$0.00 |