SMILES SO WHITE PLLC
NPI: 1639684871
· GARLAND, TX 75042
· Dental Clinic/Center
· NPI assigned 12/11/2017
Provider Details
| Authorized Official | IQBAL, SYED (OWNER) |
| NPI Enumeration Date | 12/11/2017 |
Related Entities
Other providers sharing the same authorized official: IQBAL, SYED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
294 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
48 |
17 |
$5K |
| D1351 |
Sealant - per tooth |
77 |
16 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
22 |
22 |
$777.04 |
| D0230 |
Intraoral - periapical each additional radiographic image |
23 |
23 |
$743.45 |
| D1120 |
Prophylaxis - child |
19 |
19 |
$698.25 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
19 |
19 |
$515.09 |
| D1208 |
Topical application of fluoride, excluding varnish |
24 |
24 |
$352.80 |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
24 |
$276.32 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$183.61 |
| D0603 |
|
25 |
25 |
$0.00 |