SMILE ZONE DENTISTRY CLINTONDALE PC
NPI: 1740590637
· CLINTONDALE, NY 12515
· Dentist
· NPI assigned 10/14/2010
Provider Details
| Authorized Official | BAJAJ, SAMIR (DIRECTOR) |
| NPI Enumeration Date | 10/14/2010 |
Related Entities
Other providers sharing the same authorized official: BAJAJ, SAMIR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
35 |
$0.00 |
| 2021 |
66 |
$2K |
| 2022 |
299 |
$12K |
| 2023 |
250 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
302 |
302 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
177 |
177 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
73 |
73 |
$938.20 |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$681.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$390.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
25 |
25 |
$294.52 |
| D1999 |
|
35 |
33 |
$0.00 |