ZOOM SMILE PC
NPI: 1609852649
· NEW CITY, NY 10956
· Dentist
· NPI assigned 12/21/2005
Provider Details
| Authorized Official | MA, KEITH (PRESIDENT/ DENTIST) |
| NPI Enumeration Date | 12/21/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$881.65 |
| 2019 |
92 |
$3K |
| 2020 |
250 |
$6K |
| 2021 |
347 |
$10K |
| 2022 |
423 |
$13K |
| 2023 |
348 |
$11K |
| 2024 |
222 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
853 |
853 |
$33K |
| D0120 |
Periodic oral evaluation - established patient |
771 |
770 |
$16K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
14 |
12 |
$875.46 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$339.97 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$274.78 |
| D1999 |
|
45 |
43 |
$0.00 |