HEALTHY SMILES FAMILY DENTISTRY OF PASCAGOULA
NPI: 1659093250
· PASCAGOULA, MS 39581
· General Practice Dentistry
· NPI assigned 09/12/2022
Provider Details
Related Entities
Other providers sharing the same authorized official: BENNETT, KINYATTA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
555 |
$13K |
| 2024 |
244 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
300 |
283 |
$11K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
58 |
27 |
$5K |
| D0330 |
Panoramic radiographic image |
90 |
85 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
339 |
303 |
$3K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$278.32 |