PALMER SMILES
NPI: 1750136586
· THREE RIVERS, MA 01080
· General Practice Dentistry
· NPI assigned 04/24/2024
Provider Details
| Authorized Official | MUDUMBA, DIVYA (PRESIDENT) |
| NPI Enumeration Date | 04/24/2024 |
Related Entities
Other providers sharing the same authorized official: MUDUMBA, DIVYA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
56 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
25 |
$1K |
| D1110 |
Prophylaxis - adult |
16 |
15 |
$840.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$770.00 |