PROSPER SMILE STUDIO PLLC
NPI: 1811644289
· PROSPER, TX 75078
· General Practice Dentistry
· NPI assigned 03/07/2022
Provider Details
| Authorized Official | REYES, VICENTA (CREDENTIALING LEAD) |
| NPI Enumeration Date | 03/07/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
165 |
$3K |
| 2024 |
169 |
$536.93 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
94 |
12 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
24 |
$812.36 |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
12 |
$392.51 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$144.42 |
| D0603 |
|
158 |
147 |
$0.00 |