SMITH AND SMITH DENTAL ASSOCIATES, LLC
NPI: 1558434167
· JACKSONVILLE, FL 32208
· General Practice Dentistry
· NPI assigned 11/15/2006
Provider Details
| Authorized Official | SMITH, ALISIA (ASSOCIATE DENTIST) |
| NPI Enumeration Date | 11/15/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
97 |
$2K |
| 2020 |
337 |
$19K |
| 2021 |
19 |
$1K |
| 2022 |
106 |
$6K |
| 2023 |
712 |
$50K |
| 2024 |
591 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4341 |
|
96 |
48 |
$21K |
| D0210 |
Intraoral - complete series of radiographic images |
82 |
79 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
669 |
652 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
145 |
142 |
$11K |
| D4346 |
|
131 |
124 |
$10K |
| D9995 |
|
79 |
75 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
85 |
80 |
$2K |
| D1206 |
Topical application of fluoride varnish |
164 |
160 |
$2K |
| D1330 |
|
276 |
262 |
$739.22 |
| D0274 |
Bitewings - four radiographic images |
68 |
67 |
$254.40 |
| D0220 |
Intraoral - periapical first radiographic image |
35 |
35 |
$60.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
32 |
30 |
$27.00 |