GLOBAL SMILES DENTAL 11 LLC
NPI: 1679342687
· INDIANAPOLIS, IN 46250
· General Practice Dentistry
· NPI assigned 01/02/2024
Provider Details
| Authorized Official | WHITE, TIA (CREDENTIALING/BILLING) |
| NPI Enumeration Date | 01/02/2024 |
Related Entities
Other providers sharing the same authorized official: WHITE, TIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
269 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
54 |
24 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
80 |
65 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
70 |
65 |
$3K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$744.60 |
| D0330 |
Panoramic radiographic image |
27 |
27 |
$642.80 |
| D0350 |
|
26 |
20 |
$0.00 |