CRISTAL PEDIATRIC SMILE
NPI: 1689397796
· TAMARAC, FL 33321
· Dental Clinic/Center
· NPI assigned 09/22/2022
Provider Details
| Authorized Official | ROMERO, ALEJANDRA (PEDIATRIC DENTISTRY) |
| NPI Enumeration Date | 09/22/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
24 |
$0.00 |
| 2024 |
181 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
25 |
25 |
$412.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
64 |
40 |
$343.71 |
| D1206 |
Topical application of fluoride varnish |
43 |
43 |
$197.04 |
| D1330 |
|
45 |
45 |
$84.42 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
28 |
$59.80 |