SEA OF SMILES 3PLLC
NPI: 1467931790
· WARRINGTON, PA 18976
· Pediatric Dentist
· NPI assigned 08/08/2018
Provider Details
| Authorized Official | PATEL, RAJ (DENTIST) |
| NPI Enumeration Date | 08/08/2018 |
Related Entities
Other providers sharing the same authorized official: PATEL, RAJ
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
4,360 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
692 |
569 |
$16K |
| D1206 |
Topical application of fluoride varnish |
728 |
584 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
576 |
465 |
$11K |
| D0603 |
|
667 |
524 |
$5K |
| D1330 |
|
661 |
518 |
$3K |
| D1351 |
Sealant - per tooth |
16 |
13 |
$2K |
| D0272 |
Bitewings - two radiographic images |
141 |
113 |
$2K |
| D1110 |
Prophylaxis - adult |
26 |
16 |
$707.26 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
30 |
$704.61 |
| D0220 |
Intraoral - periapical first radiographic image |
82 |
59 |
$579.09 |
| D0330 |
Panoramic radiographic image |
22 |
12 |
$503.60 |
| D0145 |
Oral evaluation for a patient under three years of age |
16 |
16 |
$360.45 |
| D0230 |
Intraoral - periapical each additional radiographic image |
33 |
24 |
$249.86 |
| D1310 |
|
662 |
518 |
$11.00 |