FITCHBURG SMILES, PLLC
NPI: 1477046704
· FITCHBURG, MA 01420
· Dental Clinic/Center
· NPI assigned 06/12/2018
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$528.00 |
| 2021 |
102 |
$4K |
| 2022 |
261 |
$7K |
| 2023 |
190 |
$21K |
| 2024 |
102 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
21 |
12 |
$16K |
| D1110 |
Prophylaxis - adult |
201 |
189 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
236 |
215 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
54 |
54 |
$2K |
| D0274 |
Bitewings - four radiographic images |
53 |
53 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
68 |
67 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
34 |
29 |
$425.00 |