SMILES ON MAIN
NPI: 1528015328
· MAQUOKETA, IA 52060
· Dentist
· NPI assigned 05/27/2006
1,305
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
204 |
$3K |
| 2019 |
167 |
$3K |
| 2020 |
252 |
$3K |
| 2021 |
148 |
$3K |
| 2022 |
187 |
$4K |
| 2023 |
232 |
$5K |
| 2024 |
165 |
$3K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
844 |
823 |
$17K |
| D1206 |
Topical application of fluoride varnish |
281 |
261 |
$5K |
| D1120 |
Prophylaxis - child |
142 |
136 |
$4K |
| D1999 |
|
88 |
85 |
$0.00 |