INFINITE HEALTHY SMILE, LLC
NPI: 1396589628
· BALTIMORE, MD 21221
· General Practice Dentistry
· NPI assigned 06/21/2024
Provider Details
Related Entities
Other providers sharing the same authorized official: NOURMAND, PAYAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
112 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
24 |
24 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$2K |
| D0330 |
Panoramic radiographic image |
34 |
34 |
$2K |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$336.98 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$315.48 |