DELMARVA SMILE CORNER, LLC
NPI: 1760934665
· SALISBURY, MD 21801
· Dentist
· NPI assigned 10/27/2016
Provider Details
| Authorized Official | SHAHRY, NAHID (OWNER/DENTIST) |
| NPI Enumeration Date | 10/27/2016 |
Related Entities
Other providers sharing the same authorized official: SHAHRY, NAHID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
72 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
18 |
$927.00 |
| D1120 |
Prophylaxis - child |
16 |
16 |
$677.92 |
| D1206 |
Topical application of fluoride varnish |
20 |
20 |
$498.40 |
| D1330 |
|
18 |
18 |
$108.00 |