I SMILE AT VIP DENTAL PLLC
NPI: 1689082059
· ST GEORGE, UT 84770
· General Practice Dentistry
· NPI assigned 07/29/2014
Provider Details
| Authorized Official | ERICKSON, VERD (DENTIST) |
| NPI Enumeration Date | 07/29/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
332 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
66 |
62 |
$4K |
| D4355 |
|
68 |
59 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
47 |
40 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
33 |
12 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$764.47 |
| D0120 |
Periodic oral evaluation - established patient |
42 |
40 |
$400.33 |
| D0220 |
Intraoral - periapical first radiographic image |
46 |
39 |
$189.32 |
| D1206 |
Topical application of fluoride varnish |
17 |
14 |
$0.00 |