DIVINE SMILES DENTISTRY
NPI: 1669760195
· BETHESDA, MD 20814
· General Practice Dentistry
· NPI assigned 07/19/2011
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
107 |
$5K |
| 2024 |
144 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
117 |
116 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
71 |
71 |
$2K |
| D0274 |
Bitewings - four radiographic images |
38 |
38 |
$914.66 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
12 |
$676.08 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$551.40 |