ADABELLA SMILE P.A.
NPI: 1396593505
· JERSEY CITY, NJ 07304
· Dental Clinic/Center
· NPI assigned 05/11/2024
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
154 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
47 |
47 |
$1K |
| D1110 |
Prophylaxis - adult |
34 |
34 |
$660.00 |
| D0330 |
Panoramic radiographic image |
46 |
45 |
$550.00 |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$420.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$24.00 |