SMILE CENTER OF SHERIDAN, PLLC
NPI: 1376252478
· SHERIDAN, AR 72150
· General Practice Dentistry
· NPI assigned 11/16/2022
Provider Details
| Authorized Official | LOGAN, SUSAN (INSURANCE ADMIN) |
| NPI Enumeration Date | 11/16/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
164 |
$4K |
| 2023 |
697 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
85 |
80 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
130 |
128 |
$3K |
| D0272 |
Bitewings - two radiographic images |
125 |
125 |
$3K |
| D1120 |
Prophylaxis - child |
76 |
75 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
133 |
132 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
149 |
145 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
108 |
101 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
27 |
25 |
$746.60 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
28 |
27 |
$641.58 |