IDAHO FALLS SMILES, PLLC
NPI: 1649610726
· IDAHO FALLS, ID 83404
· General Practice Dentistry
· NPI assigned 07/03/2013
Provider Details
| Authorized Official | HENINGER, DAVID (PRESIDENT/PART-OWNER) |
| NPI Enumeration Date | 07/03/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
183 |
$3K |
| 2019 |
134 |
$19.24 |
| 2020 |
197 |
$4K |
| 2021 |
142 |
$3K |
| 2022 |
295 |
$4K |
| 2023 |
149 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
204 |
203 |
$14K |
| D1120 |
Prophylaxis - child |
41 |
41 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
495 |
494 |
$134.84 |
| D0220 |
Intraoral - periapical first radiographic image |
58 |
56 |
$19.73 |
| D1206 |
Topical application of fluoride varnish |
186 |
186 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
45 |
39 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
56 |
56 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$0.00 |