SMART SMILES DENTAL CARE LLC
NPI: 1831447093
· CARLSBAD, NM 88220
· Dental Hygienist
· NPI assigned 08/20/2012
Provider Details
| Authorized Official | HYDEN, PEGGY (OWNER/DENTAL HYGIENIST) |
| NPI Enumeration Date | 08/20/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
875 |
$11K |
| 2019 |
372 |
$8K |
| 2020 |
54 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
296 |
215 |
$6K |
| D1351 |
Sealant - per tooth |
275 |
53 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
272 |
242 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
296 |
216 |
$4K |
| D0272 |
Bitewings - two radiographic images |
162 |
109 |
$2K |