LOGAN C SMITH DDS PLLC
NPI: 1649803388
· JENISON, MI 49428
· General Practice Dentistry
· NPI assigned 02/21/2020
Provider Details
| Authorized Official | SMITH, LOGAN (OWNER DENTIST) |
| NPI Enumeration Date | 02/21/2020 |
Related Entities
Other providers sharing the same authorized official: SMITH, LOGAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
42 |
$924.19 |
| 2021 |
63 |
$992.00 |
| 2022 |
89 |
$1K |
| 2023 |
86 |
$2K |
| 2024 |
57 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
207 |
207 |
$4K |
| D1120 |
Prophylaxis - child |
50 |
50 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
80 |
80 |
$1K |