SMITH, LOUIS
NPI: 1841274859
· ELYRIA, OH 44035
· Dentist
· NPI assigned 12/02/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
332 |
$5K |
| 2019 |
120 |
$1K |
| 2020 |
107 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
172 |
172 |
$3K |
| D1110 |
Prophylaxis - adult |
64 |
64 |
$2K |
| D0272 |
Bitewings - two radiographic images |
113 |
113 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
21 |
13 |
$535.00 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$416.88 |
| D0220 |
Intraoral - periapical first radiographic image |
87 |
86 |
$365.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
24 |
24 |
$360.00 |
| D1330 |
|
66 |
66 |
$0.00 |