LUXSMILE PLLC
NPI: 1801345087
· CARROLLTON, TX 75010
· Dentist
· NPI assigned 09/28/2016
Provider Details
| Authorized Official | TON, TAMMY (MANAGING MEMBER) |
| NPI Enumeration Date | 09/28/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$191.10 |
| 2021 |
429 |
$7K |
| 2022 |
435 |
$7K |
| 2023 |
505 |
$8K |
| 2024 |
127 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
218 |
211 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
380 |
355 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
398 |
219 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
330 |
298 |
$4K |
| D1120 |
Prophylaxis - child |
83 |
79 |
$3K |
| D0274 |
Bitewings - four radiographic images |
28 |
26 |
$899.86 |
| D0603 |
|
30 |
30 |
$0.00 |
| D0602 |
|
43 |
42 |
$0.00 |