SMILE MAKERS DENTISTRY PC
NPI: 1740880442
· WOMELSDORF, PA 19567
· General Practice Dentistry
· NPI assigned 10/30/2020
Provider Details
| Authorized Official | JUNG, MINKI (OWNER) |
| NPI Enumeration Date | 10/30/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,468 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
312 |
49 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
180 |
180 |
$4K |
| D1110 |
Prophylaxis - adult |
92 |
92 |
$3K |
| D1120 |
Prophylaxis - child |
101 |
101 |
$3K |
| D1206 |
Topical application of fluoride varnish |
155 |
155 |
$3K |
| D1310 |
|
190 |
190 |
$2K |
| D1330 |
|
192 |
192 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
102 |
100 |
$890.49 |
| D0230 |
Intraoral - periapical each additional radiographic image |
96 |
94 |
$789.77 |
| D0274 |
Bitewings - four radiographic images |
22 |
22 |
$622.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$576.00 |