HOLISTIC SMILES
NPI: 1831860246
· FORT COLLINS, CO 80526
· Dental Hygienist
· NPI assigned 09/24/2021
$727.91
Total Medicaid Paid
Provider Details
| Authorized Official | DRISCOLL, JOY (OWNER) |
| NPI Enumeration Date | 09/24/2021 |
Related Entities
Other providers sharing the same authorized official: DRISCOLL, JOY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
25 |
$727.91 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$571.64 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$156.27 |