TIMOTHY W SMITH DMD LLC
NPI: 1508103821
· HANCEVILLE, AL 35077
· Dental Clinic/Center
· NPI assigned 01/07/2013
Provider Details
| Authorized Official | SMITH, TIMOTHY (OWNER) |
| NPI Enumeration Date | 01/07/2013 |
Related Entities
Other providers sharing the same authorized official: SMITH, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
79 |
$903.00 |
| 2019 |
54 |
$873.00 |
| 2020 |
232 |
$3K |
| 2021 |
177 |
$3K |
| 2022 |
91 |
$2K |
| 2023 |
20 |
$300.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1999 |
|
283 |
242 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
163 |
130 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
148 |
117 |
$2K |
| D1120 |
Prophylaxis - child |
24 |
15 |
$280.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
20 |
13 |
$242.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$225.00 |