SMILE SHOPPE
NPI: 1356518500
· BURLINGTON, IA 52601
· Dentist
· NPI assigned 05/15/2008
Provider Details
| Authorized Official | GROELTZ, AMY (PRESIDENT/DENTIST) |
| NPI Enumeration Date | 05/15/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
13 |
$651.33 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
14 |
$456.00 |