BUMBLE BEE SMILES
NPI: 1396512166
· DUMAS, TX 79029
· Pediatric Dentist
· NPI assigned 12/11/2023
$828.74
Total Medicaid Paid
Provider Details
| Authorized Official | SPARKMAN, JOHN (OWNER) |
| NPI Enumeration Date | 12/11/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
239 |
$828.74 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
67 |
67 |
$311.27 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$195.12 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
36 |
36 |
$121.96 |
| D0220 |
Intraoral - periapical first radiographic image |
36 |
35 |
$101.32 |
| D0230 |
Intraoral - periapical each additional radiographic image |
66 |
33 |
$68.58 |
| D1120 |
Prophylaxis - child |
21 |
21 |
$30.49 |