HEALTHY SMILES DENTAL CENTER
NPI: 1770317026
· MONTGOMERY, AL 36106
· Dental Clinic/Center
· NPI assigned 08/29/2024
Provider Details
| Authorized Official | GRIFFIN, JACOB (DENTIST) |
| NPI Enumeration Date | 08/29/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
789 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2752 |
|
63 |
15 |
$12K |
| D1110 |
Prophylaxis - adult |
135 |
124 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
171 |
159 |
$3K |
| D0274 |
Bitewings - four radiographic images |
119 |
109 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
117 |
113 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
55 |
45 |
$1K |
| D1120 |
Prophylaxis - child |
19 |
18 |
$308.00 |
| D0272 |
Bitewings - two radiographic images |
18 |
17 |
$245.70 |
| D9999 |
Unspecified adjunctive procedure, by report |
92 |
35 |
$0.00 |