PICAYUNE SMILES, LLC
NPI: 1699132423
· PICAYUNE, MS 39466
· General Practice Dentistry
· NPI assigned 01/25/2016
Provider Details
| Authorized Official | DAHO, JOSEPH (OWNER) |
| NPI Enumeration Date | 01/25/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,579 |
$170.56 |
| 2019 |
827 |
$885.91 |
| 2023 |
50 |
$646.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
971 |
217 |
$651.84 |
| D0120 |
Periodic oral evaluation - established patient |
151 |
55 |
$498.93 |
| D1208 |
Topical application of fluoride, excluding varnish |
647 |
135 |
$445.76 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
687 |
98 |
$105.94 |