STUDIO SMILES DENTAL, PLLC
NPI: 1467903294
· ALLEN, TX 75013
· General Practice Dentistry
· NPI assigned 10/17/2016
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
15 |
$0.00 |
| 2023 |
176 |
$2K |
| 2024 |
970 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
134 |
18 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
277 |
129 |
$2K |
| D0274 |
Bitewings - four radiographic images |
79 |
71 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
122 |
117 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
157 |
146 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
30 |
25 |
$715.55 |
| D1110 |
Prophylaxis - adult |
14 |
13 |
$659.68 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$459.16 |
| D1120 |
Prophylaxis - child |
16 |
14 |
$441.00 |
| D0603 |
|
318 |
304 |
$0.00 |