THE SMILIST DENTAL DE, LLC
NPI: 1386328227
· GREAT NECK, NY 11021
· General Practice Dentistry
· NPI assigned 06/12/2023
Provider Details
| Authorized Official | ALVAREZ, SAUNDRA (VP REVENUE MANAGEMENT) |
| NPI Enumeration Date | 06/12/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
236 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
60 |
60 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
58 |
58 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
62 |
62 |
$694.40 |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$580.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
31 |
$341.60 |