DAKOTA SMILES, PLLC
NPI: 1740430198
· FARGO, ND 58104
· Dental Clinic/Center
· NPI assigned 09/23/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
88 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
20 |
12 |
$701.00 |
| D0274 |
Bitewings - four radiographic images |
19 |
12 |
$489.76 |
| D0120 |
Periodic oral evaluation - established patient |
25 |
15 |
$471.73 |
| D1206 |
Topical application of fluoride varnish |
24 |
14 |
$378.00 |