NORWICH SMILES FAMILY DENTISTRY
NPI: 1558670471
· NORWICH, CT 06360
· General Practice Dentistry
· NPI assigned 09/27/2010
$216K
Total Medicaid Paid
Provider Details
| Authorized Official | DOYLE, PHILIP (PART OWNER) |
| NPI Enumeration Date | 09/27/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
605 |
$21K |
| 2019 |
860 |
$27K |
| 2020 |
689 |
$22K |
| 2021 |
1,190 |
$39K |
| 2022 |
1,245 |
$38K |
| 2023 |
1,260 |
$40K |
| 2024 |
971 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,396 |
2,259 |
$97K |
| D0120 |
Periodic oral evaluation - established patient |
2,355 |
2,183 |
$65K |
| D1206 |
Topical application of fluoride varnish |
1,955 |
1,823 |
$50K |
| D1351 |
Sealant - per tooth |
51 |
12 |
$2K |
| D0274 |
Bitewings - four radiographic images |
25 |
24 |
$928.48 |
| D0272 |
Bitewings - two radiographic images |
26 |
24 |
$648.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$637.00 |