CHILDRENS SMILE CENTER
NPI: 1841349891
· OZARK, MO 65721
· Pediatric Dentist
· NPI assigned 01/09/2007
Provider Details
| Authorized Official | MILLSAP, JOE (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 01/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
105 |
$1K |
| 2019 |
24 |
$433.08 |
| 2020 |
69 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
90 |
89 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
38 |
38 |
$812.02 |
| D0274 |
Bitewings - four radiographic images |
39 |
39 |
$614.76 |
| D1120 |
Prophylaxis - child |
18 |
17 |
$302.50 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$74.40 |