NEW YORK SMILES DENTAL PC
NPI: 1780028969
· NEW YORK, NY 10025
· General Practice Dentistry
· NPI assigned 04/18/2013
$580.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, CHUN (PRESIDENT) |
| NPI Enumeration Date | 04/18/2013 |
Related Entities
Other providers sharing the same authorized official: LEE, CHUN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$580.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$580.00 |