GOOD LIFE SMILES, PC
NPI: 1821612797
· OMAHA, NE 68022
· Pediatric Dentist
· NPI assigned 06/05/2020
Provider Details
| Authorized Official | HARBERT, PETER (OWNER/PEDIATRIC DENTIST) |
| NPI Enumeration Date | 06/05/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
239 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
88 |
88 |
$3K |
| D1206 |
Topical application of fluoride varnish |
92 |
92 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
46 |
46 |
$1K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$228.80 |