ST JOHNS SMILES
NPI: 1417557521
· SAINT JOHNS, MI 48879
· General Practice Dentistry
· NPI assigned 10/28/2020
Provider Details
| Authorized Official | BYRNES, DARLENE (OFFICE MANAGER) |
| NPI Enumeration Date | 10/28/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
138 |
$3K |
| 2022 |
132 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
84 |
84 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
114 |
114 |
$3K |
| D1206 |
Topical application of fluoride varnish |
59 |
59 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$715.00 |