PERFECT SMILES DENTAL CENTER
NPI: 1598075517
· HONOLULU, HI 96819
· General Practice Dentistry
· NPI assigned 10/08/2010
Provider Details
| Authorized Official | MACAPAGAL, MARICRIS (OWNER) |
| Parent Organization | PERFECT SMILES DENTAL CENTER |
| NPI Enumeration Date | 10/08/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
73 |
$1K |
| 2023 |
26 |
$915.20 |
| 2024 |
13 |
$349.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
51 |
51 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$536.64 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$312.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$131.04 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$80.96 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$49.92 |