LEESBURG SMILES
NPI: 1740841865
· LEESBURG, FL 34788
· Dental Clinic/Center
· NPI assigned 06/28/2019
Provider Details
Related Entities
Other providers sharing the same authorized official: ALSHAREEF, AMER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
423 |
$5K |
| 2022 |
263 |
$1K |
| 2023 |
66 |
$38.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
77 |
76 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
31 |
29 |
$1K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
21 |
13 |
$420.66 |
| D1120 |
Prophylaxis - child |
69 |
68 |
$335.94 |
| D1206 |
Topical application of fluoride varnish |
197 |
191 |
$55.19 |
| D0220 |
Intraoral - periapical first radiographic image |
62 |
61 |
$5.95 |
| D0274 |
Bitewings - four radiographic images |
32 |
31 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
38 |
38 |
$0.00 |
| D1330 |
|
200 |
194 |
$0.00 |