GENTLE TEETH AND BRACES OF WESTON
NPI: 1679110100
· WESTON, FL 33326
· Dental Clinic/Center
· NPI assigned 12/03/2019
Provider Details
| Authorized Official | SAMUEL, CHANDY (OWNER) |
| NPI Enumeration Date | 12/03/2019 |
Related Entities
Other providers sharing the same authorized official: SAMUEL, CHANDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
184 |
$2K |
| 2024 |
911 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
172 |
169 |
$2K |
| D1110 |
Prophylaxis - adult |
75 |
72 |
$607.13 |
| D1120 |
Prophylaxis - child |
58 |
58 |
$584.85 |
| D1208 |
Topical application of fluoride, excluding varnish |
152 |
151 |
$494.55 |
| D0120 |
Periodic oral evaluation - established patient |
38 |
38 |
$386.95 |
| D0210 |
Intraoral - complete series of radiographic images |
38 |
38 |
$320.37 |
| D1330 |
|
211 |
208 |
$265.15 |
| D0220 |
Intraoral - periapical first radiographic image |
182 |
166 |
$132.70 |
| D0230 |
Intraoral - periapical each additional radiographic image |
157 |
142 |
$89.68 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$0.00 |