PLEASANT SMILES DENTAL LLC
NPI: 1659685352
· MERRIMACK, NH 03054
· General Practice Dentistry
· NPI assigned 08/05/2010
Provider Details
| Authorized Official | AVVARU, SREELATHA (MEMBER) |
| NPI Enumeration Date | 08/05/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,350 |
$42K |
| 2019 |
1,368 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
574 |
556 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
615 |
588 |
$18K |
| D1351 |
Sealant - per tooth |
559 |
107 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
629 |
609 |
$11K |
| D1110 |
Prophylaxis - adult |
135 |
132 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
86 |
83 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
32 |
13 |
$4K |
| D0274 |
Bitewings - four radiographic images |
59 |
57 |
$2K |
| D0330 |
Panoramic radiographic image |
29 |
25 |
$937.50 |