MILES OF SMILES PLLC
NPI: 1396385993
· LONDONDERRY, NH 03053
· General Practice Dentistry
· NPI assigned 01/10/2020
$354K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SAMAAN, MUHENAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,552 |
$81K |
| 2021 |
4,205 |
$150K |
| 2022 |
3,235 |
$100K |
| 2023 |
837 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,106 |
2,003 |
$62K |
| D1120 |
Prophylaxis - child |
1,735 |
1,643 |
$59K |
| D1110 |
Prophylaxis - adult |
1,183 |
1,101 |
$54K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,393 |
2,243 |
$41K |
| D1351 |
Sealant - per tooth |
1,293 |
272 |
$38K |
| D0274 |
Bitewings - four radiographic images |
1,057 |
976 |
$32K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
318 |
221 |
$32K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
373 |
337 |
$20K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
128 |
95 |
$12K |
| D0330 |
Panoramic radiographic image |
144 |
126 |
$4K |
| D1999 |
|
99 |
89 |
$0.00 |