MOORESTOWN SMILE CENTER LLC
NPI: 1386187714
· MOORESTOWN, NJ 08057
· Customized Equipment (DME)
· NPI assigned 12/03/2016
Provider Details
| Authorized Official | KHAN, ALIYA (OWNER) |
| NPI Enumeration Date | 12/03/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
263 |
$6K |
| 2019 |
16 |
$320.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
113 |
113 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
63 |
63 |
$2K |
| D1110 |
Prophylaxis - adult |
71 |
71 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
32 |
32 |
$640.00 |