CEDAR RAPIDS SMILE CENTER PLC
NPI: 1770745564
· CEDAR RAPIDS, IA 52403
· General Practice Dentistry
· NPI assigned 07/02/2008
$130K
Total Medicaid Paid
Provider Details
| Authorized Official | YOSSI, DENNIS (OWNER) |
| NPI Enumeration Date | 07/02/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,143 |
$23K |
| 2019 |
975 |
$19K |
| 2020 |
890 |
$17K |
| 2021 |
1,244 |
$26K |
| 2022 |
1,775 |
$36K |
| 2023 |
375 |
$9K |
| 2024 |
13 |
$49.69 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,413 |
2,347 |
$43K |
| D1110 |
Prophylaxis - adult |
1,232 |
1,201 |
$41K |
| D1206 |
Topical application of fluoride varnish |
2,294 |
2,233 |
$35K |
| D0274 |
Bitewings - four radiographic images |
369 |
365 |
$9K |
| D1120 |
Prophylaxis - child |
92 |
89 |
$2K |
| D1999 |
|
15 |
15 |
$0.00 |