SMILEWORKS FAMILY DENTISTRY
NPI: 1467174201
· PITTSFIELD, MA 01201
· Dental Clinic/Center
· NPI assigned 09/19/2022
Provider Details
| Authorized Official | MUDUMBA, DIVYA (OWNER) |
| NPI Enumeration Date | 09/19/2022 |
Related Entities
Other providers sharing the same authorized official: MUDUMBA, DIVYA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
223 |
$9K |
| 2024 |
1,847 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
447 |
436 |
$24K |
| D9450 |
|
637 |
590 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
293 |
283 |
$18K |
| D1206 |
Topical application of fluoride varnish |
407 |
396 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
143 |
137 |
$4K |
| D0272 |
Bitewings - two radiographic images |
130 |
127 |
$4K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$1K |