SMILEMATIC, PLLC
NPI: 1598351066
· AURORA, CO 80017
· Dental Clinic/Center
· NPI assigned 12/17/2020
Provider Details
| Authorized Official | KIM, DALE (MANAGER) |
| NPI Enumeration Date | 12/17/2020 |
Related Entities
Other providers sharing the same authorized official: KIM, DALE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
108 |
$2K |
| 2023 |
288 |
$9K |
| 2024 |
181 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
80 |
80 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
230 |
224 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
41 |
41 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
67 |
65 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
56 |
56 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
67 |
67 |
$1K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$1K |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$503.52 |