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SMILE TO SMILE FAMILY DENTAL & SEDATION CENTER, P.A.
SMILE TO SMILE FAMILY DENTAL & SEDATION CENTER, P.A.
NPI: 1386966059
· DOVER, DE 19904
· Dental Clinic/Center
· NPI assigned 02/23/2010
Provider Details
| Authorized Official | GRANDISON, DAWN (PRESIDENT) |
| NPI Enumeration Date | 02/23/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,187 |
$44K |
| 2019 |
906 |
$47K |
| 2020 |
157 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
564 |
528 |
$26K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
110 |
61 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
553 |
513 |
$15K |
| D1120 |
Prophylaxis - child |
279 |
257 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
385 |
352 |
$12K |
| D1110 |
Prophylaxis - adult |
115 |
114 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
33 |
29 |
$1K |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$397.32 |
| D0602 |
|
23 |
17 |
$0.00 |
| D0603 |
|
145 |
131 |
$0.00 |
| D0601 |
|
31 |
31 |
$0.00 |