EDWARDS & SMITH FAMILY DENTISTRY
NPI: 1689785768
· WATERLOO, IA 50701
· General Practice Dentistry
· NPI assigned 08/31/2006
$270K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, JEFFREY (CO-OWNER) |
| NPI Enumeration Date | 08/31/2006 |
Related Entities
Other providers sharing the same authorized official: SMITH, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,601 |
$34K |
| 2019 |
1,594 |
$36K |
| 2020 |
2,340 |
$34K |
| 2021 |
2,205 |
$39K |
| 2022 |
1,621 |
$37K |
| 2023 |
2,039 |
$49K |
| 2024 |
1,632 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
3,085 |
3,020 |
$108K |
| D0120 |
Periodic oral evaluation - established patient |
5,045 |
4,934 |
$91K |
| D1206 |
Topical application of fluoride varnish |
2,556 |
2,486 |
$42K |
| D1120 |
Prophylaxis - child |
577 |
559 |
$17K |
| D0274 |
Bitewings - four radiographic images |
339 |
322 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
63 |
40 |
$5K |
| D0272 |
Bitewings - two radiographic images |
68 |
65 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$328.30 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
15 |
$167.22 |
| D1999 |
|
1,269 |
1,167 |
$0.00 |