FAMILY SMILE CENTER, LLC
NPI: 1356543268
· MANCHESTER, CT 06040
· General Practice Dentistry
· NPI assigned 06/03/2007
Deactivated NPI
· This NPI was deactivated on 05/05/2011. Reactivated 10/10/2012.
Provider Details
| Authorized Official | LEVY, JODI (OWNER) |
| NPI Enumeration Date | 06/03/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
70 |
$2K |
| 2019 |
76 |
$3K |
| 2020 |
63 |
$2K |
| 2022 |
58 |
$2K |
| 2023 |
56 |
$2K |
| 2024 |
30 |
$955.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
149 |
148 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
134 |
133 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
70 |
69 |
$2K |