VIP SMILES JOHNSON DENTAL INC
NPI: 1497081459
· MAPLE HEIGHTS, OH 44137
· General Practice Dentistry
· NPI assigned 10/27/2009
Provider Details
| Authorized Official | JOHNSON, LUCIA (CHAIRMAN) |
| NPI Enumeration Date | 10/27/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
607 |
$9K |
| 2019 |
729 |
$13K |
| 2020 |
149 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
310 |
267 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
446 |
396 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
247 |
213 |
$3K |
| D0274 |
Bitewings - four radiographic images |
206 |
178 |
$3K |
| D1120 |
Prophylaxis - child |
184 |
158 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
32 |
13 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
31 |
29 |
$764.15 |
| D0272 |
Bitewings - two radiographic images |
29 |
25 |
$240.00 |