HEALTHY SMILES PC
NPI: 1659547198
· WEST BRIDGEWATER, MA 02379
· Dentist
· NPI assigned 05/05/2008
Provider Details
| Authorized Official | TABBAH, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 05/05/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
60 |
$1K |
| 2019 |
42 |
$2K |
| 2020 |
28 |
$758.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
26 |
25 |
$1K |
| D1206 |
Topical application of fluoride varnish |
31 |
29 |
$754.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
14 |
$623.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
13 |
$469.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$368.00 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
13 |
$208.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
12 |
$164.00 |