UNION CITY SMILINE DENTAL, P.C.
NPI: 1417291345
· UNION CITY, NJ 07087
· Dentist
· NPI assigned 11/15/2012
$0.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: POLAVARAPU, USHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
550 |
$0.00 |
| 2019 |
421 |
$0.00 |
| 2020 |
406 |
$0.00 |
| 2021 |
232 |
$0.00 |
| 2022 |
822 |
$0.00 |
| 2023 |
603 |
$0.00 |
| 2024 |
489 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
283 |
278 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
906 |
676 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
310 |
299 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
144 |
143 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
320 |
316 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
689 |
671 |
$0.00 |
| D1110 |
Prophylaxis - adult |
839 |
821 |
$0.00 |
| D1999 |
|
32 |
32 |
$0.00 |