DREAM SMILE DENTAL PC
NPI: 1770747180
· WEST NEW YORK, NJ 07093
· General Practice Dentistry
· NPI assigned 07/15/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
189 |
$970.25 |
| 2019 |
451 |
$2K |
| 2020 |
178 |
$614.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
295 |
295 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
220 |
213 |
$942.75 |
| D0220 |
Intraoral - periapical first radiographic image |
250 |
249 |
$528.00 |
| D1110 |
Prophylaxis - adult |
53 |
53 |
$422.25 |