CLARKSBURG BRIGHT SMILES CORPORATION
NPI: 1568120384
· CLARKSBURG, MD 20871
· General Practice Dentistry
· NPI assigned 11/30/2021
$147K
Total Medicaid Paid
Provider Details
| Authorized Official | BANT, VISHAL (OFFICER) |
| NPI Enumeration Date | 11/30/2021 |
Related Entities
Other providers sharing the same authorized official: BANT, VISHAL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,094 |
$65K |
| 2024 |
1,626 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
311 |
170 |
$49K |
| D1110 |
Prophylaxis - adult |
367 |
364 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
418 |
409 |
$23K |
| D0330 |
Panoramic radiographic image |
353 |
345 |
$16K |
| D1206 |
Topical application of fluoride varnish |
602 |
592 |
$15K |
| D0274 |
Bitewings - four radiographic images |
320 |
313 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
172 |
172 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
58 |
55 |
$3K |
| D1120 |
Prophylaxis - child |
42 |
42 |
$2K |
| D3120 |
|
32 |
26 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
45 |
44 |
$531.90 |