HEALTHY SMILES DENTALCARE LLC
NPI: 1528769635
· ROCKVILLE, MD 20851
· General Practice Dentistry
· NPI assigned 03/15/2023
Provider Details
| Authorized Official | XU, QING (DENTIST) |
| NPI Enumeration Date | 03/15/2023 |
Related Entities
Other providers sharing the same authorized official: XU, QING
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
845 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
82 |
37 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
111 |
111 |
$6K |
| D1110 |
Prophylaxis - adult |
80 |
80 |
$5K |
| D0330 |
Panoramic radiographic image |
101 |
101 |
$5K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
38 |
12 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
76 |
72 |
$4K |
| D0274 |
Bitewings - four radiographic images |
111 |
111 |
$3K |
| D1206 |
Topical application of fluoride varnish |
83 |
83 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
149 |
144 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$144.32 |