VSMILEDENTAL VAISHALI SUCHAK LLC
NPI: 1457622136
· BRISTOL, PA 19007
· General Practice Dentistry
· NPI assigned 01/26/2012
$585.80
Total Medicaid Paid
Provider Details
| Authorized Official | SUCHAK, KAUSHIK (MANAGER) |
| NPI Enumeration Date | 01/26/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$585.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
12 |
$401.40 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
25 |
$184.40 |