PRECISION SMILE STRUCTURE HELOTES, PLLC
NPI: 1770179723
· HELOTES, TX 78023
· General Practice Dentistry
· NPI assigned 12/14/2020
Provider Details
| Authorized Official | SMITH, ADAM (OWNER) |
| NPI Enumeration Date | 12/14/2020 |
Related Entities
Other providers sharing the same authorized official: SMITH, ADAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
237 |
$2K |
| 2023 |
1,027 |
$13K |
| 2024 |
758 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
403 |
375 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
215 |
195 |
$5K |
| D1110 |
Prophylaxis - adult |
92 |
83 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
298 |
171 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
212 |
196 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
30 |
14 |
$2K |
| D1120 |
Prophylaxis - child |
69 |
63 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
27 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
46 |
43 |
$2K |
| D0274 |
Bitewings - four radiographic images |
33 |
26 |
$797.42 |
| D0603 |
|
594 |
556 |
$0.00 |