PERFECT SMILE DENTAL PC
NPI: 1346074143
· MANCHESTER, CT 06042
· General Practice Dentistry
· NPI assigned 08/26/2024
Provider Details
| Authorized Official | MODI, NISHIT (OWNER) |
| Parent Organization | PERFECT SMILE DENTAL PC |
| NPI Enumeration Date | 08/26/2024 |
Related Entities
Other providers sharing the same authorized official: MODI, NISHIT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
663 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
108 |
81 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
160 |
101 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
77 |
65 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
150 |
90 |
$1K |
| D1110 |
Prophylaxis - adult |
36 |
20 |
$499.20 |
| D1120 |
Prophylaxis - child |
29 |
17 |
$495.88 |
| D0120 |
Periodic oral evaluation - established patient |
45 |
28 |
$490.70 |
| D0274 |
Bitewings - four radiographic images |
34 |
23 |
$421.92 |
| D1206 |
Topical application of fluoride varnish |
24 |
13 |
$198.94 |