ABSOLUTE SMILE
NPI: 1427218882
· SOUTHAMPTON, PA 18966
· General Practice Dentistry
· NPI assigned 06/10/2008
Provider Details
| Authorized Official | TRIKUR, OLESYA (MAIN RECEPTIONIST) |
| NPI Enumeration Date | 06/10/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
16 |
16 |
$535.20 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$305.40 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$243.10 |